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ALICIA LAVONNE PARTEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
11419 CASIMIR AVE, HAWTHORNE, CA 90250-1100
(323) 365-0342
(310) 637-0473
Mailing address
11419 CASIMIR AVE, HAWTHORNE, CA 90250-1100
(323) 365-0342
(310) 637-0473

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFC 52857
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01245407
MEDI-CAL PROVIDER
CA
Enumeration date
08/20/2010
Last updated
05/10/2013
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