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1538290200
KATHLEEN VAN DAM
NORTHRIDGE, CA
NPI
1538290200
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 7704)
Enumeration Date
2007-03-07
Last Update Date
2007-07-08
Business Address
-- KATHLEEN VAN DAM
9650 ZELZAH AVE
NORTHRIDGE, CA 91325-2003
Phone number: 818-993-9311
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Mailing Address
-- KATHLEEN VAN DAM
9650 ZELZAH AVE
NORTHRIDGE, CA 91325-2003
Phone number:
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