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1720622236
AMANDA CHRISTINE AVILA
ENCINO, CA
NPI
1720622236
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA LMFT115580)
Enumeration Date
2019-10-29
Last Update Date
2019-10-29
Business Address
AMANDA CHRISTINE AVILA LMFT
16550 VENTURA BLVD STE 318
ENCINO, CA 91436-5003
Phone number: 925-360-3998
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Mailing Address
AMANDA CHRISTINE AVILA LMFT
11666 GOSHEN AVE APT 203
LOS ANGELES, CA 90049-6285
Phone number: 925-360-3998
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