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1316255664
JACQUI T. SHINE
LOS ANGELES, CA
NPI
1316255664
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC 35815)
Enumeration Date
2010-09-21
Last Update Date
2010-09-21
Business Address
Ms. JACQUI T. SHINE M.F.T.
520 S SEPULVEDA BLVD SUITE #306
LOS ANGELES, CA 90049-3521
Phone number: 310-440-1411
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Mailing Address
Ms. JACQUI T. SHINE M.F.T.
520 S SEPULVEDA BLVD SUITE #306
LOS ANGELES, CA 90049-3521
Phone number: 310-440-1411
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