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1780009803
MARISA ICE
BURBANK, CA
NPI
1780009803
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC53913)
Enumeration Date
2014-02-26
Last Update Date
2014-02-26
Business Address
-- MARISA ICE M.A., LMFT
840 N CALIFORNIA ST
BURBANK, CA 91505-2919
Phone number: 323-677-1963
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Mailing Address
-- MARISA ICE M.A., LMFT
840 N CALIFORNIA ST
BURBANK, CA 91505-2919
Phone number: 323-677-1963
Copy
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