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1184984866
KATHERINE LYNN FOSDAHL
COSTA MESA, CA
NPI
1184984866
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-05-29
Last Update Date
2013-04-23
Business Address
Ms. KATHERINE LYNN FOSDAHL
420 W 19TH ST
COSTA MESA, CA 92627-2026
Phone number: 949-646-9227
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Mailing Address
Ms. KATHERINE LYNN FOSDAHL
420 W 19TH ST STE B
COSTA MESA, CA 92627-2026
Phone number:
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