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1679005581
LICIA WISE
TORRANCE, CA
NPI
1679005581
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 90769)
Enumeration Date
2017-03-30
Last Update Date
2018-11-21
Business Address
LICIA WISE LMFT
21151 S WESTERN AVE STE 255
TORRANCE, CA 90501-1724
Phone number: 310-919-6815
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Mailing Address
LICIA WISE LMFT
1302 E 3RD ST APT. 24
LONG BEACH, CA 90802-3677
Phone number: 310-919-6815
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