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1679845226
CRISTINA A PORTILLO-VIA
LA CRESCENTA, CA
NPI
1679845226
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 36748)
Enumeration Date
2012-01-28
Last Update Date
2012-01-28
Business Address
Mrs. CRISTINA A PORTILLO-VIA LCSW
3049 MONTROSE AVE
LA CRESCENTA, CA 91214-3659
Phone number: 214-734-6664
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Mailing Address
Mrs. CRISTINA A PORTILLO-VIA LCSW
PO BOX 8003
LA CRESCENTA, CA 91224-0003
Phone number: 214-734-6664
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