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1184000390
MAYRA LEONOR DIAZ
NORTH HOLLYWOOD, CA
NPI
1184000390
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 110966)
Enumeration Date
2015-08-11
Last Update Date
2020-12-31
Business Address
MAYRA LEONOR DIAZ LMFT
10737 RIVERSIDE DR
NORTH HOLLYWOOD, CA 91602-2324
Phone number: 818-473-0945
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Mailing Address
MAYRA LEONOR DIAZ LMFT
PO BOX 16442
NORTH HOLLYWOOD, CA 91615-6442
Phone number: 818-473-0945
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