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1700919222
EDWARD J. VIDAURRI
LOS ANGELES, CA
NPI
1700919222
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 15019)
Enumeration Date
2007-03-13
Last Update Date
2007-07-08
Business Address
Mr. EDWARD J. VIDAURRI L.C.S.W.
550 S VERMONT AVE
LOS ANGELES, CA 90020-1912
Phone number: 213-738-3765
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Mailing Address
Mr. EDWARD J. VIDAURRI L.C.S.W.
8836 LA ENTRADA AVE
WHITTIER, CA 90605-1709
Phone number: 562-696-2072
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