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1508461567
CARLOS M CASILLAS
LOS ANGELES, CA
NPI
1508461567
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-11-30
Last Update Date
2020-11-30
Business Address
CARLOS M CASILLAS
2356 MEADOWVALE AVE
LOS ANGELES, CA 90031-1111
Phone number: 323-599-1608
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Mailing Address
CARLOS M CASILLAS
2356 MEADOWVALE AVE
LOS ANGELES, CA 90031-1111
Phone number: 323-599-1608
Copy
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