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Individual

JAMIE MICHELLE BANDUCCI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1540 E COLORADO ST, GLENDALE, CA 91205-1514
(818) 638-5471
Mailing address
4760 SOUTH SEPULVEDA BLVD, CULVER CITY, CA 90230
(310) 390-6612

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
06/18/2009
Last updated
03/20/2012
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Product
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