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1265791081
GENA DAWN PONTICELLI
LOS ANGELES, CA
NPI
1265791081
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 52862)
Enumeration Date
2012-05-14
Last Update Date
2014-01-10
Business Address
Ms. GENA DAWN PONTICELLI
1600 W IMPERIAL HWY
LOS ANGELES, CA 90047-4810
Phone number: 800-777-9311
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Mailing Address
Ms. GENA DAWN PONTICELLI
1600 W IMPERIAL HWY
LOS ANGELES, CA 90047-4810
Phone number:
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