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1982070355
ELISE HUERTA
VIEW PARK, CA
NPI
1982070355
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: CA 67676)
Enumeration Date
2015-08-19
Last Update Date
2015-08-19
Business Address
ELISE HUERTA
3751 STOCKER ST
VIEW PARK, CA 90008-5101
Phone number: 323-298-3680
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Mailing Address
ELISE HUERTA
200 N SAN FERNANDO RD # LOFT409
LOS ANGELES, CA 90031-1339
Phone number:
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