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1780082651
MINOLI HORDAGODA
SAN JOSE, CA
NPI
1780082651
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA LCSW95765)
Enumeration Date
2014-12-09
Last Update Date
2021-02-08
Business Address
MINOLI HORDAGODA LCSW
237 RACE ST
SAN JOSE, CA 95126-4823
Phone number: 408-971-9822
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Mailing Address
MINOLI HORDAGODA LCSW
2310 HOMESTEAD RD STE C1-401
LOS ALTOS, CA 94024-7339
Phone number: 408-593-8147
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