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1710541966
CIUIN DOHERTY
LOS ANGELES, CA
NPI
1710541966
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 112384)
Enumeration Date
2019-04-23
Last Update Date
2019-04-23
Business Address
Mr. CIUIN DOHERTY M.A., LMFT
3846 LYCEUM AVE
LOS ANGELES, CA 90066-4125
Phone number: 310-866-1438
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Mailing Address
Mr. CIUIN DOHERTY M.A., LMFT
511 RIALTO AVE APT 6
VENICE, CA 90291-4285
Phone number: 310-866-1438
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