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1174553887
DIANNE DAVIS BRAITHWAITE
RIDGECREST, CA
NPI
1174553887
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC41116)
Enumeration Date
2006-07-05
Last Update Date
2007-07-08
Business Address
Mrs. DIANNE DAVIS BRAITHWAITE L.M.F.T.
909 W INYOKERN RD SUITE A
RIDGECREST, CA 93555-5621
Phone number: 760-446-2102
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Mailing Address
Mrs. DIANNE DAVIS BRAITHWAITE L.M.F.T.
909 W INYOKERN RD SUITE A
RIDGECREST, CA 93555-5621
Phone number: 760-446-2102
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