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1225222557
DESIREE EILEEN MIRANDA VEGA
NORTHRIDGE, CA
NPI
1225222557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA IMF50330)
Enumeration Date
2007-08-29
Last Update Date
2018-08-06
Business Address
DESIREE EILEEN MIRANDA VEGA MFT
11145 TAMPA AVE STE 15A
NORTHRIDGE, CA 91326
Phone number: 818-427-3891
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Mailing Address
DESIREE EILEEN MIRANDA VEGA MFT
1662 FREMONT AVE
SIMI VALLEY, CA 93065-4524
Phone number: 818-427-3891
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