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1851875835
MELANIE MEDINA
VENICE, CA
NPI
1851875835
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA ASW90568)
Enumeration Date
2018-09-17
Last Update Date
2020-02-20
Business Address
MELANIE MEDINA
204 HAMPTON DR
VENICE, CA 90291-2623
Phone number: 310-396-6468
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Mailing Address
MELANIE MEDINA
204 HAMPTON DR
VENICE, CA 90291-2623
Phone number: 310-396-6468
Copy
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