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1720625684
KATIE D MORTIMER
SANTA MONICA, CA
NPI
1720625684
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA lcs18991)
Enumeration Date
2019-12-10
Last Update Date
2019-12-10
Business Address
KATIE D MORTIMER
3435 OCEAN PARK BLVD
SANTA MONICA, CA 90405-3301
Phone number: 310-804-4507
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Mailing Address
KATIE D MORTIMER
18111 NORDHOFF ST
NORTHRIDGE, CA 91330-0001
Phone number: 818-635-7553
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