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1053780064
JENNIFER DEFOREST
LOS ANGELES, CA
NPI
1053780064
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 70261)
Enumeration Date
2015-09-20
Last Update Date
2015-09-20
Business Address
-- JENNIFER DEFOREST MFT Intern
7461 BEVERLY BLVD UNIT 405
LOS ANGELES, CA 90036-2704
Phone number: 323-939-6355
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Mailing Address
-- JENNIFER DEFOREST MFT Intern
PO BOX 4492
CHATSWORTH, CA 91313-4492
Phone number: 818-282-3554
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