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1013755461
STEPHANIE WICKENS
NORTH HOLLYWOOD, CA
NPI
1013755461
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 145053)
Enumeration Date
2024-07-18
Last Update Date
2024-07-18
Business Address
STEPHANIE WICKENS AMFT
11049 MAGNOLIA BLVD APT 625
NORTH HOLLYWOOD, CA 91601-5665
Phone number: 615-406-7006
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Mailing Address
STEPHANIE WICKENS AMFT
3405 VETERAN AVE APT 4
LOS ANGELES, CA 90034-5341
Phone number: 818-821-0936
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