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1215061254
AUDRA K LACEY
LA MESA, CA
NPI
1215061254
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC38530)
Enumeration Date
2007-03-14
Last Update Date
2007-07-08
Business Address
-- AUDRA K LACEY MFT
5480 BALTIMORE DR STE 103
LA MESA, CA 91942-2068
Phone number: 619-559-8591
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Mailing Address
-- AUDRA K LACEY MFT
5480 BALTIMORE DR STE 103
LA MESA, CA 91942-2068
Phone number: 619-559-8591
Copy
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