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1710507553
ELIZABETH VELAZQUEZ
GARDENA, CA
NPI
1710507553
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA V1301261714)
Enumeration Date
2020-04-22
Last Update Date
2020-04-22
Business Address
ELIZABETH VELAZQUEZ
15519 CRENSHAW BLVD
GARDENA, CA 90249-4525
Phone number: 310-973-2272
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Mailing Address
ELIZABETH VELAZQUEZ
15519 CRENSHAW BLVD
GARDENA, CA 90249-4525
Phone number: 310-973-2272
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