Provider Information for 1376655167
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Mrs. ANDREA ILENE PLATE lcsw
Sex: Female
NPI: 1376655167
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1376655167 | ||||||||
| Enumeration Date | 2006-08-31 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 9950 DURANT DR 106 BEVERLY HILLS, CA 90212-1615 United States Phone: 310-556-3460 | Fax: | ||||||||
| Primary Practice Address | 11301 WILSHIRE BLVD LOS ANGELES, CA 90073-1003 United States Phone: 310-478-3711 | Fax: | ||||||||
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