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1558816009
MICHELLE LORENA MICHICOFF
LOS ANGELES, CA
NPI
1558816009
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2016-08-24
Last Update Date
2021-12-15
Business Address
MICHELLE LORENA MICHICOFF
3303 N BROADWAY
LOS ANGELES, CA 90031-2803
Phone number: 323-478-8200
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Mailing Address
MICHELLE LORENA MICHICOFF
3303 N BROADWAY
LOS ANGELES, CA 90031-2803
Phone number: 323-478-8200
Copy
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