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1114090172
KIMBERLY G LASCANO
LOS ANGELES, CA
NPI
1114090172
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA mfc23364)
Enumeration Date
2006-11-16
Last Update Date
2007-07-08
Business Address
-- KIMBERLY G LASCANO MFT
4368 EAGLE ROCK BLVD
LOS ANGELES, CA 90041-3211
Phone number: 323-256-9906
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Mailing Address
-- KIMBERLY G LASCANO MFT
4368 EAGLE ROCK BLVD
LOS ANGELES, CA 90041-3211
Phone number: 323-256-9906
Copy
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