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1730203282
LETICIA T. VIDALES
VENTURA, CA
NPI
1730203282
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 47119)
Enumeration Date
2007-03-19
Last Update Date
2012-02-06
Business Address
Ms. LETICIA T. VIDALES MA, MFT
5500 TELEGRAPH RD STE 175
VENTURA, CA 93003-4251
Phone number: 805-658-2105
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Mailing Address
Ms. LETICIA T. VIDALES MA, MFT
5500 TELEGRAPH RD STE 175
VENTURA, CA 93003-4251
Phone number: 805-658-2105
Copy
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