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1669951513
ELLEN GERKEN MAINTHOW
NEWPORT BEACH, CA
NPI
1669951513
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: CA MFT27818)
Enumeration Date
2018-08-11
Last Update Date
2018-08-11
Business Address
ELLEN GERKEN MAINTHOW LMFT
1965 PORT TRINITY PL
NEWPORT BEACH, CA 92660-7127
Phone number: 949-293-6246
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Mailing Address
ELLEN GERKEN MAINTHOW LMFT
1965 PORT TRINITY PL
NEWPORT BEACH, CA 92660-7127
Phone number: 949-293-6246
Copy
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