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1548699853
LICIA GINNE
CAPITOLA, CA
NPI
1548699853
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC21421)
Enumeration Date
2013-11-06
Last Update Date
2021-12-29
Business Address
LICIA GINNE MFT21421
820 BAY AVE SUITE 205
CAPITOLA, CA 95010
Phone number: 831-471-8647
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Mailing Address
LICIA GINNE MFT21421
PO BOX 181
CAPITOLA, CA 95010-0181
Phone number: 310-569-0221
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