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1255679783
LISA JEAN STEVENS
LONG BEACH, CA
NPI
1255679783
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 44620)
Enumeration Date
2013-01-17
Last Update Date
2013-01-17
Business Address
-- LISA JEAN STEVENS M.A.
5199 E PACIFIC COAST HWY STE 208
LONG BEACH, CA 90804-3388
Phone number: 562-310-3777
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Mailing Address
-- LISA JEAN STEVENS M.A.
2012 HUNTINGTON LN
REDONDO BEACH, CA 90278-4222
Phone number: 310-850-6856
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