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1457698474
SECRET YOUNG
LONG BEACH, CA
NPI
1457698474
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 71903)
Enumeration Date
2013-01-10
Last Update Date
2013-01-10
Business Address
-- SECRET YOUNG MFTI
490 W 14TH ST
LONG BEACH, CA 90813-2943
Phone number: 562-591-8701
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Mailing Address
-- SECRET YOUNG MFTI
138 ELM AVE APT 22
LONG BEACH, CA 90802-4925
Phone number:
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