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1013380666
AUTUMN NEELY
LAKE ELSINORE, CA
NPI
1013380666
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA IMF89259)
Enumeration Date
2015-11-04
Last Update Date
2015-11-04
Business Address
-- AUTUMN NEELY
224 W GRAHAM AVE
LAKE ELSINORE, CA 92530-3740
Phone number: 951-318-1351
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Mailing Address
-- AUTUMN NEELY
29558 TWO HARBOR LN
MENIFEE, CA 92585-9284
Phone number: 951-230-3677
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