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1205384401
MARK MAXWELL
SAN DIEGO, CA
NPI
1205384401
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 80504)
Enumeration Date
2016-09-15
Last Update Date
2023-05-28
Business Address
Dr. MARK MAXWELL Psy.D, MFT #80504
2851 CAMINO DEL RIO S STE 300
SAN DIEGO, CA 92108-3814
Phone number: 619-204-9513
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Mailing Address
Dr. MARK MAXWELL Psy.D, MFT #80504
4334 VOLTAIRE ST
SAN DIEGO, CA 92107-1712
Phone number:
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