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1770899510
VIVECA AUTUMN YCOY
LOS ANGELES, CA
NPI
1770899510
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-08-30
Last Update Date
2012-12-07
Business Address
-- VIVECA AUTUMN YCOY
3210 W JEFFERSON BLVD
LOS ANGELES, CA 90018-3230
Phone number: 323-731-4981
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Mailing Address
-- VIVECA AUTUMN YCOY
3210 W JEFFERSON BLVD
LOS ANGELES, CA 90018-3230
Phone number: 323-731-4981
Copy
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