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1255462644
ELEANOR JEAN WILSON
VAN NUYS, CA
NPI
1255462644
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFT19583)
Enumeration Date
2007-03-08
Last Update Date
2007-07-08
Business Address
-- ELEANOR JEAN WILSON
14640 VICTORY BLVD
VAN NUYS, CA 91411-1623
Phone number: 818-374-6901
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Mailing Address
-- ELEANOR JEAN WILSON
15557 WYANDOTTE ST
VAN NUYS, CA 91406-3336
Phone number: 818-909-0540
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