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1801612965
ELENA FASAN
LOS ANGELES, CA
NPI
1801612965
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 88083)
Enumeration Date
2024-11-22
Last Update Date
2024-11-22
Business Address
ELENA FASAN LCSW
2936 1/2 S LA SALLE AVE
LOS ANGELES, CA 90018-3095
Phone number: 213-798-1594
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Mailing Address
ELENA FASAN LCSW
1125 E BROADWAY # 1002
GLENDALE, CA 91205-1315
Phone number: 323-991-6692
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