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1144006065
MARISSA CONSUELO ANGELINA PEREIDA
LAGUNA BEACH, CA
NPI
1144006065
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 139005)
Enumeration Date
2023-09-06
Last Update Date
2023-09-06
Business Address
MARISSA CONSUELO ANGELINA PEREIDA
1968 S COAST HWY # 634
LAGUNA BEACH, CA 92651-3681
Phone number: 619-547-1856
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Mailing Address
MARISSA CONSUELO ANGELINA PEREIDA
PO BOX 1247
ROHNERT PARK, CA 94927-1247
Phone number: 707-477-4673
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