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1053663930
DESIREE MICHELLE GOTTFRIED
BANNING, CA
NPI
1053663930
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 114843)
Enumeration Date
2012-10-03
Last Update Date
2021-04-12
Business Address
DESIREE MICHELLE GOTTFRIED LMFT
1627 S HARGRAVE ST
BANNING, CA 92220-6169
Phone number: 951-922-7612
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Mailing Address
DESIREE MICHELLE GOTTFRIED LMFT
1627 S HARGRAVE ST
BANNING, CA 92220-6169
Phone number:
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