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1174991947
JACQUELINE CARLSON
LONG BEACH, CA
NPI
1174991947
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA LMFT110562)
Enumeration Date
2015-09-09
Last Update Date
2018-11-26
Business Address
JACQUELINE CARLSON
1301 PINE AVE
LONG BEACH, CA 90813-3124
Phone number: 562-595-1159
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Mailing Address
JACQUELINE CARLSON
1301 PINE AVE
LONG BEACH, CA 90813-3124
Phone number: 562-595-1159
Copy
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