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1497147235
JUANITA ILENE BLACK
LOS ALAMITOS, CA
NPI
1497147235
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA LMFT84453)
Enumeration Date
2015-03-03
Last Update Date
2015-05-31
Business Address
-- JUANITA ILENE BLACK LMFT
3845 FARQUHAR AVE UNIT 217
LOS ALAMITOS, CA 90720-2007
Phone number: 562-537-3977
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Mailing Address
-- JUANITA ILENE BLACK LMFT
3845 FARQUHAR AVE UNIT 217
LOS ALAMITOS, CA 90720-2007
Phone number: 562-537-3977
Copy
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