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1740426246
ANNIE CELICE VANDERGRIFT
CANOGA PARK, CA
NPI
1740426246
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-01-05
Last Update Date
2009-01-05
Business Address
-- ANNIE CELICE VANDERGRIFT
22030 SHERMAN WAY STE 115
CANOGA PARK, CA 91303-1889
Phone number: 818-340-0230
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Mailing Address
-- ANNIE CELICE VANDERGRIFT
566 S SAN PEDRO ST # 447
LOS ANGELES, CA 90013-2102
Phone number:
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