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1427597467
DANIELLE ANTISTA
PASADENA, CA
NPI
1427597467
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA IMF95916)
Enumeration Date
2017-02-22
Last Update Date
2017-02-22
Business Address
-- DANIELLE ANTISTA
940 AVENUE 64
PASADENA, CA 91105-2711
Phone number: 323-543-2800
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Mailing Address
-- DANIELLE ANTISTA
940 AVENUE 64
PASADENA, CA 91105-2711
Phone number: 323-543-2800
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