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1548661010
MARISA FENTIS
LONG BEACH, CA
NPI
1548661010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 72891)
Enumeration Date
2014-09-15
Last Update Date
2016-10-25
Business Address
-- MARISA FENTIS
1301 PINE AVE
LONG BEACH, CA 90813-3124
Phone number: 562-794-6875
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Mailing Address
-- MARISA FENTIS
1301 PINE AVE
LONG BEACH, CA 90813-3124
Phone number:
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