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1518703859
BRENDA DIAZ
LAKE ELSINORE, CA
NPI
1518703859
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 147416)
Enumeration Date
2024-07-05
Last Update Date
2024-10-25
Business Address
BRENDA DIAZ
2499 E LAKESHORE DR
LAKE ELSINORE, CA 92530-4411
Phone number: 951-471-0042
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Mailing Address
BRENDA DIAZ
2499 E LAKESHORE DR
LAKE ELSINORE, CA 92530-4411
Phone number: 951-471-4200
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