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1518550979
SUZAN JANETTE ETHERIDGE
COSTA MESA, CA
NPI
1518550979
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 125842)
Enumeration Date
2021-02-17
Last Update Date
2021-09-20
Business Address
SUZAN JANETTE ETHERIDGE AMFT
3540 HOWARD WAY STE 150
COSTA MESA, CA 92626-1496
Phone number: 714-638-8343
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Mailing Address
SUZAN JANETTE ETHERIDGE AMFT
3540 HOWARD WAY STE 150
COSTA MESA, CA 92626-1496
Phone number:
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