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1730634486
IDA NILANTHI LONNERDAL
WOODLAND, CA
NPI
1730634486
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 86632)
Enumeration Date
2016-08-23
Last Update Date
2016-08-23
Business Address
Ms. IDA NILANTHI LONNERDAL MFT Intern
455 FIRST STREET
WOODLAND, CA 95695
Phone number: 530-662-2211
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Mailing Address
Ms. IDA NILANTHI LONNERDAL MFT Intern
455 FIRST STREET
WOODLAND, CA 95695
Phone number: 530-662-2211
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