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1114162047
SALLY DIANE
LA QUINTA, CA
NPI
1114162047
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC 44515)
Enumeration Date
2008-12-05
Last Update Date
2010-06-16
Business Address
Dr. SALLY DIANE Ed.D
79100 KRISTEN CT
LA QUINTA, CA 92253-7205
Phone number: 760-777-0167
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Mailing Address
Dr. SALLY DIANE Ed.D
42525 RANCHO MIRAGE LN
RANCHO MIRAGE, CA 92270-4312
Phone number: 760-777-0167
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