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1134678899
SARA PROVENCE
SAN DIEGO, CA
NPI
1134678899
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA LMFT127145)
Enumeration Date
2016-09-22
Last Update Date
2021-11-08
Business Address
Miss SARA PROVENCE
3002 ARMSTRONG ST
SAN DIEGO, CA 92111-5702
Phone number: 858-460-4555
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Mailing Address
Miss SARA PROVENCE
3002 ARMSTRONG ST
SAN DIEGO, CA 92111-5702
Phone number: 858-460-4555
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