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1144619131
JACLYN FALLON SHAPIN
LOS ANGELES, CA
NPI
1144619131
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Other Name
JACKIE SHAPIN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 84626)
Enumeration Date
2015-01-14
Last Update Date
2015-01-14
Business Address
-- JACLYN FALLON SHAPIN MS, LMFT
766 COLORADO BLVD
LOS ANGELES, CA 90041-1702
Phone number: 323-255-0400
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Mailing Address
-- JACLYN FALLON SHAPIN MS, LMFT
56 COTTAGE LN
ALISO VIEJO, CA 92656-4201
Phone number: 949-295-1041
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