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1699101956
GEOFFREY MELLON
LOS ANGELES, CA
NPI
1699101956
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: CA LCSW88540)
Enumeration Date
2013-09-18
Last Update Date
2019-04-24
Business Address
GEOFFREY MELLON LCSW
3200 MOTOR AVE
LOS ANGELES, CA 90034-3710
Phone number: 310-836-1223
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Mailing Address
GEOFFREY MELLON LCSW
3200 MOTOR AVE
LOS ANGELES, CA 90034-3710
Phone number: 310-836-1223
Copy
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