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1770954414
WENDY JOHANSEN
ONTARIO, CA
NPI
1770954414
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 110897)
Enumeration Date
2015-10-07
Last Update Date
2021-02-26
Business Address
WENDY JOHANSEN MFT Intern
2940 INLAND EMPIRE BLVD
ONTARIO, CA 91764-4898
Phone number: 909-458-1517
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Mailing Address
WENDY JOHANSEN MFT Intern
PO BOX 7186
LA VERNE, CA 91750-7186
Phone number: 909-525-6200
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