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1386233534
SELENE SOPHIA WADDELL
MOUNTAIN VIEW, CA
NPI
1386233534
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: AZ LPC-2137)
Enumeration Date
2021-01-12
Last Update Date
2021-01-25
Business Address
Mrs. SELENE SOPHIA WADDELL MC,LPC
990 VILLA ST
MOUNTAIN VIEW, CA 94041-1236
Phone number: 888-688-9296
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Mailing Address
Mrs. SELENE SOPHIA WADDELL MC,LPC
4118 E 2ND ST
TUCSON, AZ 85711-1014
Phone number: 520-795-3432
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