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Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANTHONY CAVUOTI LMFT (SUPERVISOR)
(310) 868-5379
Entity
Organization

Contact information

Practice address
1085 W VICTORIA ST, COMPTON, CA 90220-5804
(310) 868-5379
(310) 868-5398
Mailing address
2102 W 157TH ST APT 6, GARDENA, CA 90249-4756
(310) 329-7758

Taxonomy

Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary

Other

Enumeration date
04/18/2008
Last updated
04/18/2008
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