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1538911458
SUSETH ADRIANA FONSECA
ENCINO, CA
NPI
1538911458
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CA 14560)
Enumeration Date
2024-04-03
Last Update Date
2024-04-03
Business Address
SUSETH ADRIANA FONSECA
15720 VENTURA BLVD STE 420
ENCINO, CA 91436-4711
Phone number: 818-927-0478
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Mailing Address
SUSETH ADRIANA FONSECA
437 E 98TH ST
INGLEWOOD, CA 90301-4207
Phone number:
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