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1538402078
NATALIE EBRAHIM
CANOGA PARK, CA
NPI
1538402078
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 61194)
Enumeration Date
2013-04-03
Last Update Date
2014-10-09
Business Address
-- NATALIE EBRAHIM mft intern
7246 REMMET AVE
CANOGA PARK, CA 91303
Phone number: 818-359-1016
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Mailing Address
-- NATALIE EBRAHIM mft intern
625 E MAIN ST
SANTA PAULA, CA 93035
Phone number: 818-359-1016
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