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Individual

MISS ANGELIQUE N EADY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
470 E 3RD ST, STE C, LOS ANGELES, CA 90013-1629
(213) 620-5712
(213) 621-4155
Mailing address
470 E 3RD ST, STE C, LOS ANGELES, CA 90013-1629
(213) 620-5712
(213) 621-4155

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
76662
CA
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
10/17/2011
Last updated
12/01/2014
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