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Organization
CHRIS AND GLORIAS SPACE LLC
Active
Organization
CHRIS AND GLORIAS SPACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER RUFFIN LCSW (PRESIDENT)
(818) 818-3617
Entity
Organization
Contact information
Practice address
1055 E COLORADO BLVD STE 5198, PASADENA, CA 91106-2327
(818) 818-3617
Mailing address
13627 SHERMAN WAY APT 107, VAN NUYS, CA 91405-2803
(818) 818-3617
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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