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1477100279
MARK DENNIS PHELAN
SANTA MONICA, CA
NPI
1477100279
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 115079)
Enumeration Date
2019-08-26
Last Update Date
2023-02-08
Business Address
MARK DENNIS PHELAN LMFT
1118 20TH ST APT B
SANTA MONICA, CA 90403-5635
Phone number: 310-699-4187
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Mailing Address
MARK DENNIS PHELAN LMFT
1118 20TH ST APT B
SANTA MONICA, CA 90403-5635
Phone number: 310-699-4187
Copy
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