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1710332770
JESSICA KEIKO LANE
BERKELEY, CA
NPI
1710332770
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA LMFT44341)
Enumeration Date
2016-04-27
Last Update Date
2016-04-27
Business Address
-- JESSICA KEIKO LANE MFT
3120 TELEGRAPH AVE SUITE 11
BERKELEY, CA 94705-1900
Phone number: 510-527-6188
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Mailing Address
-- JESSICA KEIKO LANE MFT
3120 TELEGRAPH AVE SUITE 11
BERKELEY, CA 94705-1900
Phone number: 510-527-6188
Copy
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