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1750639548
ROULAN EIVAZZADEH
LANCASTER, CA
NPI
1750639548
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: CA ASW34696)
Enumeration Date
2012-08-27
Last Update Date
2013-07-30
Business Address
MR. ROULAN EIVAZZADEH ACSW
921 W AVENUE J STE C
LANCASTER, CA 93534-3443
Phone number: 661-949-0131
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Mailing Address
MR. ROULAN EIVAZZADEH ACSW
921 W AVENUE J STE C
LANCASTER, CA 93534-3443
Phone number: 661-949-0131
Copy
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