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1245484948
MICHAEL MACK
LOS ANGELES, CA
NPI
1245484948
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC 44626)
Enumeration Date
2008-11-07
Last Update Date
2008-11-07
Business Address
MICHAEL MACK MFT
6041 CADILLAC AVE
LOS ANGELES, CA 90034-1702
Phone number: 323-857-2000
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Mailing Address
MICHAEL MACK MFT
6041 CADILLAC AVE
LOS ANGELES, CA 90034-1702
Phone number: 323-857-2000
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