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1104165224
JACEK BERNARD WYSOCKI
LOS ANGELES, CA
NPI
1104165224
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA LMFT101799)
Enumeration Date
2013-02-08
Last Update Date
2023-11-27
Business Address
JACEK BERNARD WYSOCKI LMFT
1031 W 34TH ST STE 500
LOS ANGELES, CA 90089-2501
Phone number: 213-821-6500
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Mailing Address
JACEK BERNARD WYSOCKI LMFT
PO BOX 31309
LOS ANGELES, CA 90031-0309
Phone number: 213-821-6500
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