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1952878068
DESIRAE SIMONE GORDON
INGLEWOOD, CA
NPI
1952878068
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-10-26
Last Update Date
2018-10-26
Business Address
DESIRAE SIMONE GORDON
323 N PRAIRIE AVE
INGLEWOOD, CA 90301-4502
Phone number: 310-677-7808
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Mailing Address
DESIRAE SIMONE GORDON
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230-4820
Phone number:
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