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1376631036
LYDIA FONSECA
PICO RIVERA, CA
NPI
1376631036
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 44944)
Enumeration Date
2006-10-10
Last Update Date
2007-11-08
Business Address
Mrs. LYDIA FONSECA
9550 WOODFORD ST
PICO RIVERA, CA 90660-1557
Phone number: 562-692-8165
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Mailing Address
Mrs. LYDIA FONSECA
9550 WOODFORD ST
PICO RIVERA, CA 90660-1557
Phone number: 562-692-8165
Copy
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