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1902262199
PRUDENCESA P RENFRO
HAWTHORNE, CA
NPI
1902262199
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R117981214)
Enumeration Date
2016-01-04
Last Update Date
2018-08-17
Business Address
Ms. PRUDENCESA P RENFRO
4513 W 115TH ST APT 10
HAWTHORNE, CA 90250
Phone number: 323-445-1115
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Mailing Address
Ms. PRUDENCESA P RENFRO
800 W 6TH ST SUITE 1505
LOS ANGELES, CA 90017-2704
Phone number:
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