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1073263349
DALTON WAYNE HUCKABY
LOS ANGELES, CA
NPI
1073263349
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA LMFT146802)
Enumeration Date
2022-03-28
Last Update Date
2024-05-09
Business Address
Mr. DALTON WAYNE HUCKABY LMFT
3961 VIA MARISOL APT 322
LOS ANGELES, CA 90042-4973
Phone number: 408-475-1127
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Mailing Address
Mr. DALTON WAYNE HUCKABY LMFT
3961 VIA MARISOL APT 322
LOS ANGELES, CA 90042-4973
Phone number: 408-475-1127
Copy
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