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1740513985
DEDRA F BETHANY-FULCHER
LOS ANGELES, CA
NPI
1740513985
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Former Name
DEDRA F BETHANY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 8572)
Enumeration Date
2009-09-04
Last Update Date
2009-09-04
Business Address
-- DEDRA F BETHANY-FULCHER LCSW
439 W 97TH ST
LOS ANGELES, CA 90003-3968
Phone number: 323-754-2856
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Mailing Address
-- DEDRA F BETHANY-FULCHER LCSW
439 W 97TH ST
LOS ANGELES, CA 90003-3968
Phone number: 323-754-2856
Copy
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