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1013344241
LISA MARIAN VERNON
PASADENA, CA
NPI
1013344241
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC53370)
Enumeration Date
2013-10-02
Last Update Date
2013-10-02
Business Address
-- LISA MARIAN VERNON MFT
127 N MADISON AVE SUITE 212
PASADENA, CA 91101-1712
Phone number: 626-710-3922
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Mailing Address
-- LISA MARIAN VERNON MFT
PO BOX 1026
MONTROSE, CA 91021-1026
Phone number:
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