Individual
MARIA CLEMENTINA AVALOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11263 CHIVERS AVE, PACOIMA, CA 91331-1518
(818) 585-5679
Mailing address
2550 E FOOTHILL BLVD, PASADENA, CA 91107-3406
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
190096026
CA
Other
Enumeration date
03/09/2011
Last updated
04/19/2021
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