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1114052867
ANTONIETA PONCEDELEON
LONG BEACH, CA
NPI
1114052867
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA LMFT109100)
Enumeration Date
2007-02-22
Last Update Date
2018-11-08
Business Address
ANTONIETA PONCEDELEON MFT Intern
100 E. WARDLOW RD.
LONG BEACH, CA 90807
Phone number: 562-427-6818
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Mailing Address
ANTONIETA PONCEDELEON MFT Intern
100 E. WARDLOW RD.
LONG BEACH, CA 90807
Phone number: 526-427-6818
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