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1679253678
STEPHANIE R SORADY-IVERSON
LOS ANGELES, CA
NPI
1679253678
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 116391)
Enumeration Date
2023-07-24
Last Update Date
2023-07-24
Business Address
STEPHANIE R SORADY-IVERSON lcsw
3130 BAGLEY AVE APT 108
LOS ANGELES, CA 90034-3063
Phone number: 310-428-0395
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Mailing Address
STEPHANIE R SORADY-IVERSON lcsw
3101 OCEAN PARK BLVD STE 100
SANTA MONICA, CA 90405-3029
Phone number: 310-428-0395
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