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1922362268
SOPHIA L FORREST
VAN NUYS, CA
NPI
1922362268
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 12365)
Enumeration Date
2012-07-02
Last Update Date
2012-07-02
Business Address
-- SOPHIA L FORREST CARR
14435 HAMLIN ST SUITE 102
VAN NUYS, CA 91401-6205
Phone number: 818-997-1930
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Mailing Address
-- SOPHIA L FORREST CARR
14435 HAMLIN ST SUITE 102
VAN NUYS, CA 91401-6205
Phone number: 818-997-1930
Copy
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