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1366580995
ALYSA R AZIMOV
NEWPORT BEACH, CA
NPI
1366580995
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC41530)
Enumeration Date
2007-02-03
Last Update Date
2007-07-08
Business Address
-- ALYSA R AZIMOV LMFT
5001 BIRCH ST
NEWPORT BEACH, CA 92660-2116
Phone number: 714-768-4455
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Mailing Address
-- ALYSA R AZIMOV LMFT
174 PINEVIEW
IRVINE, CA 92620-1926
Phone number:
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