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1952944084
ERICA A PORTILLO
MANHATTAN BEACH, CA
NPI
1952944084
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149016910)
Enumeration Date
2019-10-22
Last Update Date
2019-10-22
Business Address
ERICA A PORTILLO LCSW
323 15TH ST
MANHATTAN BEACH, CA 90266-4605
Phone number: 779-435-3294
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Mailing Address
ERICA A PORTILLO LCSW
323 15TH ST
MANHATTAN BEACH, CA 90266-4605
Phone number: 779-435-3294
Copy
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