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Organization

TONYA OCTAVE, LCSW, PROF CORP

Active
Other names
Multicultural Services Prof. Corp.
Organization subpart
No

Provider details

NPI number
Authorized official
TONYA OCTAVE (LCSW/ PROVIDER)
(310) 387-8164
Entity
Organization

Contact information

Practice address
237 S LAKEVIEW AVE STE A, PLACENTIA, CA 92870-6756
(714) 705-0418
Mailing address
237 S LAKEVIEW AVE STE A, PLACENTIA, CA 92870-6756
(714) 705-0418

Taxonomy

Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary

Other

Enumeration date
07/27/2020
Last updated
07/27/2020
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