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1700910882
HOLLY DALE HUSTADHARDGROVE
SANTA MONICA, CA
NPI
1700910882
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 7484)
Enumeration Date
2007-03-14
Last Update Date
2013-05-31
Business Address
-- HOLLY DALE HUSTADHARDGROVE LCSW
2730 WILSHIRE BLVD SUITE 620
SANTA MONICA, CA 90403-4743
Phone number: 310-453-5747
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Mailing Address
-- HOLLY DALE HUSTADHARDGROVE LCSW
2444 WILSHIRE BLVD SUITE 415
SANTA MONICA, CA 90403-5808
Phone number: 310-453-5747
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