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1679750947
EDWARD HALOMOAN SIAHAAN
MORENO VALLEY, CA
NPI
1679750947
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA IMF 50143)
Enumeration Date
2008-01-29
Last Update Date
2008-01-29
Business Address
Mr. EDWARD HALOMOAN SIAHAAN MS, MBA, MFT Intern
22899 CATTAIL LN
MORENO VALLEY, CA 92557-6013
Phone number: 909-553-1481
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Mailing Address
Mr. EDWARD HALOMOAN SIAHAAN MS, MBA, MFT Intern
22899 CATTAIL LN
MORENO VALLEY, CA 92557-6013
Phone number: 909-553-1481
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