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1093865073
PHAEDRA NICOLE SCOORTIS
SAN DIEGO, CA
NPI
1093865073
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 43174)
Enumeration Date
2007-01-11
Last Update Date
2007-07-08
Business Address
-- PHAEDRA NICOLE SCOORTIS M.A., MFT
2727 CAMINO DEL RIO SOUTH, SUITE 311
SAN DIEGO, CA 92108
Phone number: 619-972-0209
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Mailing Address
-- PHAEDRA NICOLE SCOORTIS M.A., MFT
1412 LINCOLN AVENUE
SAN DIEGO, CA 92103-2604
Phone number: 619-972-0209
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