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1184005050
ALEXSA WICKER
LONG BEACH, CA
NPI
1184005050
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFTI85297)
Enumeration Date
2015-06-16
Last Update Date
2015-07-22
Business Address
-- ALEXSA WICKER MFTI85297
4151 E FOUNTAIN ST
LONG BEACH, CA 90804-3023
Phone number: 562-719-9250
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Mailing Address
-- ALEXSA WICKER MFTI85297
4151 E FOUNTAIN ST
LONG BEACH, CA 90804-3023
Phone number: 562-719-9250
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