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1134998685
LOREN MICHAEL FORD
SANTA CLARA, CA
NPI
1134998685
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA AMFT125075)
Enumeration Date
2023-12-26
Last Update Date
2023-12-26
Business Address
Mr. LOREN MICHAEL FORD AMFT
1050 BENTON ST APT 3108
SANTA CLARA, CA 95050-4876
Phone number: 408-658-6962
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Mailing Address
Mr. LOREN MICHAEL FORD AMFT
1231 FRANKLIN MALL STE 118
SANTA CLARA, CA 95050-4806
Phone number: 408-658-6962
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