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Individual

CARRIE BONFITTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NC

Contact information

Practice address
6020 VENTURA CANYON AVE, VAN NUYS, CA 91401-3028
(310) 592-1075
Mailing address
6020 VENTURA CANYON AVE, VAN NUYS, CA 91401-3028
(310) 592-1075

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
10/13/2017
Last updated
10/13/2017
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