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1619093028
WANCHOE PARK
LOS ANGELES, CA
NPI
1619093028
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS28421)
Enumeration Date
2007-03-21
Last Update Date
2012-05-07
Business Address
-- WANCHOE PARK LCSW
520 S LA FAYETTE PARK PL
LOS ANGELES, CA 90057-1607
Phone number: 213-252-2100
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Mailing Address
-- WANCHOE PARK LCSW
520 SO. LAFAYETTE PK. PL. 3RD FL.
LA, CA 90057
Phone number: 213-252-2100
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