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1134250467
ROMAN M SHAIN
VAN NUYS, CA
NPI
1134250467
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC39885)
Enumeration Date
2007-03-08
Last Update Date
2007-07-08
Business Address
-- ROMAN M SHAIN
6305 WOODMAN AVE
VAN NUYS, CA 91401-2346
Phone number: 818-909-3380
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Mailing Address
-- ROMAN M SHAIN
5809 RESEDA BLVD #110
TARZANA, CA 91356-2026
Phone number: 818-609-1804
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