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1710052493
LORRAINE BASES BASES FERMO
ENCINO, CA
NPI
1710052493
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFT 18185)
Enumeration Date
2006-11-21
Last Update Date
2007-07-08
Business Address
LORRAINE BASES BASES FERMO PH.D., MFT
15720 VENTURA BLVD SUITE 603
ENCINO, CA 91436-2914
Phone number: 818-906-2282
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Mailing Address
LORRAINE BASES BASES FERMO PH.D., MFT
15720 VENTURA BLVD SUITE 603
ENCINO, CA 91436-2914
Phone number: 818-906-2282
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