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1104096262
MAIEKA S SHORT
COMPTON, CA
NPI
1104096262
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 106242)
Enumeration Date
2008-03-05
Last Update Date
2020-03-10
Business Address
Ms. MAIEKA S SHORT
901 W VICTORIA ST STE F&G
COMPTON, CA 90220-5807
Phone number: 310-669-9510
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Mailing Address
Ms. MAIEKA S SHORT
509 E. ROSCRANE AVENUE
COMPTON, CA 90221
Phone number: 424-785-8661
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