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Organization
TESTIMONIAL COMMUNITY LOVE CENTER
Active
Organization
TESTIMONIAL COMMUNITY LOVE CENTER
Active
Other names
Testimonial Community Love Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ZONEKE DOMINO (ADMIN)
(504) 495-2551
Entity
Organization
Contact information
Practice address
5721 S WESTERN AVE, LOS ANGELES, CA 90062-2714
(323) 291-6753
Mailing address
5721 S WESTERN AVE, LOS ANGELES, CA 90062-2714
(323) 291-6753
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/18/2021
Last updated
01/18/2021
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