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1194170159
ELLEN MCCORMACK
LOS ANGELES, CA
NPI
1194170159
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 85364)
Enumeration Date
2016-04-27
Last Update Date
2016-04-27
Business Address
-- ELLEN MCCORMACK LMFT
11949 JEFFERSON BLVD SUITE 106
LOS ANGELES, CA 90230-6336
Phone number: 424-209-2911
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Mailing Address
-- ELLEN MCCORMACK LMFT
PO BOX 341802
LOS ANGELES, CA 90034-8870
Phone number: 424-209-2911
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