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1730558842
IVY DORIS CHANG
VENICE, CA
NPI
1730558842
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: CA 26953)
Enumeration Date
2015-09-18
Last Update Date
2015-09-18
Business Address
MS. IVY DORIS CHANG LCSW
604 ROSE AVE
VENICE, CA 90291-2767
Phone number: 310-664-7503
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Mailing Address
MS. IVY DORIS CHANG LCSW
604 ROSE AVE
VENICE, CA 90291-2767
Phone number: 310-664-7503
Copy
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