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1902649973
SARA FONDA
WEST HOLLYWOOD, CA
NPI
1902649973
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 15641)
Enumeration Date
2024-06-17
Last Update Date
2024-06-17
Business Address
SARA FONDA SUDRC
7235 SANTA MONICA BLVD
WEST HOLLYWOOD, CA 90046-6724
Phone number: 213-669-2560
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Mailing Address
SARA FONDA SUDRC
5825 RESEDA BLVD APT 241
TARZANA, CA 91356-2035
Phone number: 315-380-4803
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