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Organization
PARTNERSHIPS TO UPLIFT COMMUNITIES
Active
Organization
PARTNERSHIPS TO UPLIFT COMMUNITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE A ORTIZ (SENIOR ACCOUNTANT)
(818) 478-2082
Entity
Organization
Contact information
Practice address
1405 N SAN FERNANDO BLVD, SUITE 303, BURBANK, CA 91504-4182
(818) 478-2082
Mailing address
1405 N SAN FERNANDO BLVD, SUITE 303, BURBANK, CA 91504-4182
(818) 478-2082
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
102L00000X
Psychoanalyst
—
—
103T00000X
Psychologist
—
—
235500000X
Speech/Language/Hearing Specialist/Technologist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
04/24/2012
Last updated
04/24/2012
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