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1013073196
ANN WAGNER DIMOCK
NORTHRIDGE, CA
NPI
1013073196
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC23900)
Enumeration Date
2006-12-31
Last Update Date
2007-07-08
Business Address
Mrs. ANN WAGNER DIMOCK M.F.T.
9659 BALBOA BLVD
NORTHRIDGE, CA 91325-1902
Phone number: 818-349-1401
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Mailing Address
Mrs. ANN WAGNER DIMOCK M.F.T.
PO BOX 280542
NORTHRIDGE, CA 91328-0542
Phone number: 818-349-1401
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