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1992961197
STACY PARK
LOS ANGELES, CA
NPI
1992961197
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS23522)
Enumeration Date
2008-08-06
Last Update Date
2014-06-10
Business Address
-- STACY PARK
1730 W OLYMPIC BLVD FL 3A-100
LOS ANGELES, CA 90015-1019
Phone number: 213-553-1884
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Mailing Address
-- STACY PARK
1730 W OLYMPIC BLVD FL 3A-100
LOS ANGELES, CA 90015-1019
Phone number: 213-236-9394
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