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Organization
NICOLE MEVORAK
Active
Organization
NICOLE MEVORAK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE DAVINA MEVORAK M.S. (LICENSED MARRIAGE FAMILY THERAPIST)
(818) 400-7311
Entity
Organization
Contact information
Practice address
11712 MOORPARK ST, SUITE 114, STUDIO CITY, CA 91604-2154
(818) 400-7311
Mailing address
11712 MOORPARK ST, SUITE 114, STUDIO CITY, CA 91604-2154
(818) 400-7311
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
52895
CA
Other
Enumeration date
02/19/2014
Last updated
02/19/2014
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