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1699513432
JENNIFER DIAZ AXOMULCO
LOS ANGELES, CA
NPI
1699513432
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 124591)
Enumeration Date
2024-07-16
Last Update Date
2024-08-02
Business Address
JENNIFER DIAZ AXOMULCO
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008-1821
Phone number: 323-593-5300
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Mailing Address
JENNIFER DIAZ AXOMULCO
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008-1821
Phone number: 323-593-5300
Copy
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