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1164184990
MIKE NEAL LANE
SANTA MONICA, CA
NPI
1164184990
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA mfc33336)
Enumeration Date
2021-10-08
Last Update Date
2021-10-08
Business Address
MIKE NEAL LANE MFT
948 20TH ST UNIT C
SANTA MONICA, CA 90403-3385
Phone number: 310-429-9727
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Mailing Address
MIKE NEAL LANE MFT
3231 OCEAN PARK BLVD STE 112
SANTA MONICA, CA 90405-3231
Phone number: 310-429-9727
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