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1083791271
JAN SLACK
LA MESA, CA
NPI
1083791271
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC47977)
Enumeration Date
2006-11-01
Last Update Date
2010-07-16
Business Address
Ms. JAN SLACK MFT
5480 BALTIMORE DR STE. 202
LA MESA, CA 91942-2020
Phone number: 619-335-5373
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Mailing Address
Ms. JAN SLACK MFT
5480 BALTIMORE DR STE. 202
LA MESA, CA 91942-2020
Phone number: 619-335-5373
Copy
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