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Organization
LOVETHREADS
Active
Organization
LOVETHREADS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAULETTE J HOLT LCSW (PSYCHOTHERAPIST)
(310) 632-8265
Entity
Organization
Contact information
Practice address
12204 S SAN PEDRO ST, LOS ANGELES, CA 90061-2848
(310) 701-1472
(310) 632-8265
Mailing address
PO BOX 5102, CARSON, CA 90749-5102
(310) 701-1472
(310) 632-8265
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
28252
CA
Other
Enumeration date
12/21/2016
Last updated
12/21/2016
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