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1013573161
THERESE MIGNON CLEMENTE
MONTROSE, CA
NPI
1013573161
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA LMFT110257)
Enumeration Date
2019-05-14
Last Update Date
2019-05-14
Business Address
THERESE MIGNON CLEMENTE MFT
2550 HONOLULU AVE STE 107
MONTROSE, CA 91020-1859
Phone number: 818-800-0279
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Mailing Address
THERESE MIGNON CLEMENTE MFT
5928 GRACIOSA DR
LOS ANGELES, CA 90068-3031
Phone number: 323-271-8387
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