Individual
MRS. CASSANDRA ILENE LA VALLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 3RD ST, LA VERNE, CA 91750-5201
(909) 596-5921
Mailing address
1350 3RD ST, LA VERNE, CA 91750-5201
(909) 596-5921
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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