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1003941915
WANDALYN LANE
SAN BERNARDINO, CA
NPI
1003941915
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2007-02-22
Last Update Date
2019-03-11
Business Address
Ms. WANDALYN LANE MA
1585 S D ST 101
SAN BERNARDINO, CA 92408-3257
Phone number: 909-388-2222
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Mailing Address
Ms. WANDALYN LANE MA
1501 HUGHES WAY
LONG BEACH, CA 90810-1876
Phone number: 310-221-6336
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