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1083486112
JACQUELINE LEE CORDOVA
LOS ANGELES, CA
NPI
1083486112
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 141700)
Enumeration Date
2023-10-23
Last Update Date
2023-10-23
Business Address
JACQUELINE LEE CORDOVA AMFT
13101 W WASHINGTON BLVD
LOS ANGELES, CA 90066-5131
Phone number: 310-906-0257
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Mailing Address
JACQUELINE LEE CORDOVA AMFT
2638 6TH ST
SANTA MONICA, CA 90405-4404
Phone number: 858-729-3683
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