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1700868395
ILENE D MINER
LOS ANGELES, CA
NPI
1700868395
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 25919)
Enumeration Date
2005-11-18
Last Update Date
2014-02-11
Business Address
Ms. ILENE D MINER LCSW
1891 EFFIE ST
LOS ANGELES, CA 90026-1711
Phone number: 323-644-2000
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Mailing Address
Ms. ILENE D MINER LCSW
1506 VENICE BLVD APT 210
VENICE, CA 90291-5924
Phone number: 310-740-7304
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