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1114375854
ATHENA TAJ
SAN DIEGO, CA
NPI
1114375854
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 35036)
Enumeration Date
2016-06-02
Last Update Date
2016-06-02
Business Address
-- ATHENA TAJ LMFT
5190 GOVERNOR DR SUITE #104
SAN DIEGO, CA 92122-2847
Phone number: 408-219-8709
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Mailing Address
-- ATHENA TAJ LMFT
PO BOX 12986
LA JOLLA, CA 92039-2986
Phone number: 408-219-8709
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