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1740487164
STEPHEN KANDIS
CARSON, CA
NPI
1740487164
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFT17893)
Enumeration Date
2007-06-29
Last Update Date
2007-07-08
Business Address
Mr. STEPHEN KANDIS MFT
23621 MAIN ST
CARSON, CA 90745-5743
Phone number: 310-816-5358
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Mailing Address
Mr. STEPHEN KANDIS MFT
23621 MAIN ST
CARSON, CA 90745-5743
Phone number: 310-816-5358
Copy
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