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1063104677
MAXINE DEFANK
LA MESA, CA
NPI
1063104677
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA APCC12390)
Enumeration Date
2023-05-23
Last Update Date
2023-05-23
Business Address
MAXINE DEFANK APCC
8600 LA MESA BLVD STE B
LA MESA, CA 91942-9572
Phone number: 619-733-6414
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Mailing Address
MAXINE DEFANK APCC
8600 LA MESA BLVD STE B
LA MESA, CA 91942-9572
Phone number:
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