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1962056820
MELINDA ACOSTA BLACK
SANTA ANA, CA
NPI
1962056820
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 88773)
Enumeration Date
2019-07-30
Last Update Date
2019-07-30
Business Address
MELINDA ACOSTA BLACK LCSW
1526 BROOKHOLLOW DRIVE
SANTA ANA, CA 92705
Phone number: 714-545-3390
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Mailing Address
MELINDA ACOSTA BLACK LCSW
6070 E CAMINO CORRER
ANAHEIM, CA 92807-3213
Phone number: 714-366-3419
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