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1376735506
SUSAN JOAN LODGE
SANTA ANA, CA
NPI
1376735506
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Former Name
SUSAN JOAN NEUSTADT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA MVO23094)
Enumeration Date
2007-08-12
Last Update Date
2007-08-12
Business Address
Ms. SUSAN JOAN LODGE MFT
2221 LIANE LN
SANTA ANA, CA 92705-3394
Phone number: 714-227-2439
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Mailing Address
Ms. SUSAN JOAN LODGE MFT
2221 LIANE LN
SANTA ANA, CA 92705-3394
Phone number: 714-730-6560
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