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1023395514
MAUREEN HARRIS FORMAN
PALM SPRINGS, CA
NPI
1023395514
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS14661)
Enumeration Date
2011-11-10
Last Update Date
2019-01-17
Business Address
Ms. MAUREEN HARRIS FORMAN LCSW
490 S FARRELL DR SUITE C 208
PALM SPRINGS, CA 92262-7992
Phone number: 760-325-4088
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Mailing Address
Ms. MAUREEN HARRIS FORMAN LCSW
73875 KRUG AVE
PALM DESERT, CA 92260-9320
Phone number: 760-895-8610
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