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1548759269
KATRIN LYNN KOUTASSEVITCH
PASADENA, CA
NPI
1548759269
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 71905)
Enumeration Date
2018-05-08
Last Update Date
2020-12-07
Business Address
KATRIN LYNN KOUTASSEVITCH
690 E GREEN ST STE 204
PASADENA, CA 91101-2197
Phone number: 626-795-1519
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Mailing Address
KATRIN LYNN KOUTASSEVITCH
690 E GREEN ST STE 204
PASADENA, CA 91101-2197
Phone number: 626-765-1519
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