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1013422906
LISA JANE TODD PETERSEN
MANHATTAN BEACH, CA
NPI
1013422906
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 103755)
Enumeration Date
2017-12-13
Last Update Date
2017-12-13
Business Address
LISA JANE TODD PETERSEN
515 N SEPULVEDA BLVD
MANHATTAN BEACH, CA 90266-6748
Phone number: 310-429-6372
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Mailing Address
LISA JANE TODD PETERSEN
1417 MANHATTAN BEACH BLVD
MANHATTAN BEACH, CA 90266-6116
Phone number: 310-429-6372
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