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1356304380
LARRY E SOUTHARD
SAN BERNARDINO, CA
NPI
1356304380
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC18620)
Enumeration Date
2006-04-10
Last Update Date
2007-07-08
Business Address
Mr. LARRY E SOUTHARD MA MFT
1255 E HIGHLAND AVE STE 105
SAN BERNARDINO, CA 92404
Phone number: 909-881-5250
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Mailing Address
Mr. LARRY E SOUTHARD MA MFT
1255 E HIGHLAND AVE STE 105
SAN BERNARDINO, CA 92404
Phone number: 909-881-5250
Copy
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