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1245600998
GARY DAVIDSON
SANTA MONICA, CA
NPI
1245600998
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA mft23444)
Enumeration Date
2015-10-06
Last Update Date
2015-10-06
Business Address
-- GARY DAVIDSON MFT
1115 19TH ST UNIT 10
SANTA MONICA, CA 90403-5654
Phone number: 424-302-9314
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Mailing Address
-- GARY DAVIDSON MFT
PO BOX 2090
SANTA MONICA, CA 90406-2090
Phone number: 424-302-9314
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