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Organization
MAGNOLIA CLINICAL SERVICES
Active
Organization
MAGNOLIA CLINICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH HUGHES PH.D. (OWNER/CLINICAL DIRECTOR)
(818) 489-0866
Entity
Organization
Contact information
Practice address
5656 CANTALOUPE AVE, VAN NUYS, CA 91401-4712
(818) 489-0846
Mailing address
5656 CANTALOUPE AVE, VAN NUYS, CA 91401-4712
(818) 489-0846
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/21/2018
Last updated
01/31/2020
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