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1598597320
SUSANA IBETH VENEGAS
SANTA CLARA, CA
NPI
1598597320
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 148462)
Enumeration Date
2024-08-19
Last Update Date
2024-08-19
Business Address
SUSANA IBETH VENEGAS
1690 CIVIC CENTER DR APT 706
SANTA CLARA, CA 95050-4190
Phone number: 503-400-0692
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Mailing Address
SUSANA IBETH VENEGAS
1690 CIVIC CENTER DR APT 706
SANTA CLARA, CA 95050-4190
Phone number: 503-400-0692
Copy
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