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1730644709
MARY NIRMALA JEROME
LA MESA, CA
NPI
1730644709
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA LPCC11338)
Enumeration Date
2019-02-04
Last Update Date
2023-04-24
Business Address
MARY NIRMALA JEROME
4700 SPRING ST STE NO301
LA MESA, CA 91942-0263
Phone number: 619-800-5516
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Mailing Address
MARY NIRMALA JEROME
10626 LOUISA DR
LA MESA, CA 91941-7059
Phone number: 619-800-5516
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