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1578741237
DETRA YOUNG
VENTURA, CA
NPI
1578741237
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 100407)
Enumeration Date
2008-02-05
Last Update Date
2021-08-18
Business Address
DETRA YOUNG
260 MAPLE CT STE 205
VENTURA, CA 93003-9134
Phone number: 805-419-0318
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Mailing Address
DETRA YOUNG
4660 MISSION OAKS BLVD
CAMARILLO, CA 93012-5132
Phone number: 805-834-1393
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