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1770729014
STEPHANIE NICOLE SANSOM
LA VERNE, CA
NPI
1770729014
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA IMF 58268)
Enumeration Date
2008-12-16
Last Update Date
2008-12-16
Business Address
Ms. STEPHANIE NICOLE SANSOM MA
233 BASE LINE RD
LA VERNE, CA 91750-2353
Phone number: 909-593-2581
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Mailing Address
Ms. STEPHANIE NICOLE SANSOM MA
PO BOX 400
LA VERNE, CA 91750-0400
Phone number: 909-593-2581
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