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1275862849
CHARLEY LEIGH SWAN
VENICE, CA
NPI
1275862849
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 83292)
Enumeration Date
2009-12-10
Last Update Date
2015-04-28
Business Address
-- CHARLEY LEIGH SWAN M.A.
11 WAVECREST AVE
VENICE, CA 90291-6213
Phone number: 910-988-2725
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Mailing Address
-- CHARLEY LEIGH SWAN M.A.
11 WAVECREST AVE
VENICE, CA 90291-6213
Phone number: 910-988-2725
Copy
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