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1477729143
JAY FORTMAN
SANTA BARBARA, CA
NPI
1477729143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFT19427)
Enumeration Date
2008-05-02
Last Update Date
2008-05-02
Business Address
Dr. JAY FORTMAN Ph.D., MFT
5276 HOLLISTER AVE STE 301
SANTA BARBARA, CA 93111-2071
Phone number: 805-967-2166
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Mailing Address
Dr. JAY FORTMAN Ph.D., MFT
5276 HOLLISTER AVE STE 301
SANTA BARBARA, CA 93111-2071
Phone number: 805-967-2166
Copy
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