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1548791619
KATIE VANDERVORT
AZUSA, CA
NPI
1548791619
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA LMFT100371)
Enumeration Date
2017-03-21
Last Update Date
2018-10-09
Business Address
KATIE VANDERVORT LMFT
777 E ALOSTA AVE
AZUSA, CA 91702-3102
Phone number: 805-453-1660
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Mailing Address
KATIE VANDERVORT LMFT
777 E ALOSTA AVE
AZUSA, CA 91702-3102
Phone number: 805-453-1660
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