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1518083369
MARK BRODY
CHULA VISTA, CA
NPI
1518083369
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 44950)
Enumeration Date
2007-03-22
Last Update Date
2009-03-05
Business Address
-- MARK BRODY M.S. MFT
815 3RD AVE STE 306
CHULA VISTA, CA 91911-1310
Phone number: 619-995-8466
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Mailing Address
-- MARK BRODY M.S. MFT
PO BOX 7961
CHULA VISTA, CA 91912-7961
Phone number: 619-995-8466
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