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1336379171
JACK MAYHALL
NORTHRIDGE, CA
NPI
1336379171
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC33009)
Enumeration Date
2009-07-14
Last Update Date
2023-12-28
Business Address
Dr. JACK MAYHALL LMFT
9325 WHITE OAK AVE
NORTHRIDGE, CA 91325-2347
Phone number: 310-422-6803
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Mailing Address
Dr. JACK MAYHALL LMFT
9325 WHITE OAK AVE
NORTHRIDGE, CA 91325-2347
Phone number: 310-422-6803
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