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1760150726
FAIRLIE MCCOLLOUGH
LOS ANGELES, CA
NPI
1760150726
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: CA 105404)
Enumeration Date
2021-09-02
Last Update Date
2021-12-15
Business Address
FAIRLIE MCCOLLOUGH ACSW
470 E 3RD ST SUITE C
LOS ANGELES, CA 90013-1629
Phone number: 213-620-5712
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Mailing Address
FAIRLIE MCCOLLOUGH ACSW
470 E 3RD ST SUITE C
LOS ANGELES, CA 90013-1629
Phone number: 213-620-5712
Copy
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