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1760571335
KRISTIN LICCIARDO
LOS ANGELES, CA
NPI
1760571335
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 20229)
Enumeration Date
2006-10-12
Last Update Date
2007-07-08
Business Address
-- KRISTIN LICCIARDO L.C.S.W.
550 S VERMONT AVE FL 3
LOS ANGELES, CA 90020-1912
Phone number: 213-738-6165
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Mailing Address
-- KRISTIN LICCIARDO L.C.S.W.
550 S VERMONT AVE FL 3
LOS ANGELES, CA 90020-1912
Phone number: 213-738-6165
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