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1144624834
TANYA DOUGLAS
REDONDO BEACH, CA
NPI
1144624834
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA imf80629)
Enumeration Date
2014-10-09
Last Update Date
2014-10-09
Business Address
-- TANYA DOUGLAS MS
901 N PACIFIC COAST HWY STE 200A
REDONDO BEACH, CA 90277-7702
Phone number: 310-316-1610
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Mailing Address
-- TANYA DOUGLAS MS
901 N PACIFIC COAST HWY STE 200A
REDONDO BEACH, CA 90277-7702
Phone number: 310-316-1610
Copy
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