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Individual

CHARISSE FONTANILLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
11301 WILSHIRE BLVD, BUILDING 500, WARD 2 WEST AB, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
9641 ARTESIA BLVD, BELLFLOWER, CA 90706-6635
(310) 478-3711

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CA

Other

Enumeration date
09/16/2006
Last updated
07/08/2007
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