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1447382007
AILSA MONIQUE LONG
SOUTH PASADENA, CA
NPI
1447382007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 40771)
Enumeration Date
2007-03-09
Last Update Date
2009-06-04
Business Address
Ms. AILSA MONIQUE LONG LMFT
205 PASADENA AVE
SOUTH PASADENA, CA 91030-2919
Phone number: 323-383-6909
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Mailing Address
Ms. AILSA MONIQUE LONG LMFT
205 PASADENA AVE
SOUTH PASADENA, CA 91030-2919
Phone number: 949-295-0353
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