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1508646001
DEREK RYAN FORTNEY
LOS ANGELES, CA
NPI
1508646001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 139316)
Enumeration Date
2023-10-02
Last Update Date
2023-10-16
Business Address
DEREK RYAN FORTNEY
12099 W WASHINGTON BLVD STE 200
LOS ANGELES, CA 90066-2622
Phone number: 310-751-1174
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Mailing Address
DEREK RYAN FORTNEY
12099 W WASHINGTON BLVD STE 200
LOS ANGELES, CA 90066-2622
Phone number:
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