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1063956670
TAI MADDOX
PERRIS, CA
NPI
1063956670
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 116079)
Enumeration Date
2016-12-15
Last Update Date
2020-05-28
Business Address
TAI MADDOX LMFT
308 E SAN JACINTO AVE
PERRIS, CA 92570-2878
Phone number: 951-775-2493
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Mailing Address
TAI MADDOX LMFT
308 E SAN JACINTO AVE
PERRIS, CA 92570-2878
Phone number:
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