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1245986603
BERTHA VAUGHN
RIVERSIDE, CA
NPI
1245986603
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Former Name
BERTHA LOPEZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-02-24
Last Update Date
2022-02-24
Business Address
Mrs. BERTHA VAUGHN AMFT, APCC
1845 CHICAGO AVE STE B
RIVERSIDE, CA 92507-2366
Phone number: 951-465-3664
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Mailing Address
Mrs. BERTHA VAUGHN AMFT, APCC
3940 DAWES ST APT 71
RIVERSIDE, CA 92503-3538
Phone number: 323-817-9627
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