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1063535011
VIDA KHAVAR
ALTADENA, CA
NPI
1063535011
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC 40809)
Enumeration Date
2007-04-06
Last Update Date
2012-03-23
Business Address
-- VIDA KHAVAR M.A., MFT
760 MOUNTAIN VIEW ST
ALTADENA, CA 91001-4925
Phone number: 626-246-1757
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Mailing Address
-- VIDA KHAVAR M.A., MFT
170 N GRAND AVE APT 304
PASADENA, CA 91103-3520
Phone number: 818-458-4050
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