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1104190685
JAIME ALICIA PENA
FAIRFIELD, CA
NPI
1104190685
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 111329)
Enumeration Date
2012-03-01
Last Update Date
2022-07-21
Business Address
JAIME ALICIA PENA
1234 EMPIRE ST STE 1500
FAIRFIELD, CA 94533
Phone number: 707-426-4746
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Mailing Address
JAIME ALICIA PENA
1234 EMPIRE ST STE 1500
FAIRFIELD, CA 94533-5711
Phone number: 707-426-4746
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