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1821128323
KIMBERLY DIANNE MEDVIN
LONG BEACH, CA
NPI
1821128323
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA lcs21656)
Enumeration Date
2007-03-06
Last Update Date
2007-07-08
Business Address
Ms. KIMBERLY DIANNE MEDVIN LCSW
161 W VICTORIA ST
LONG BEACH, CA 90805-2175
Phone number: 310-603-1030
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Mailing Address
Ms. KIMBERLY DIANNE MEDVIN LCSW
8219 W MANCHESTER AVE APT 2
PLAYA DEL REY, CA 90293-8127
Phone number: 310-721-1070
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