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1780770669
SUSAN LORRAINE BAILES
ORANGE, CA
NPI
1780770669
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFCC 43397)
Enumeration Date
2006-10-05
Last Update Date
2007-07-08
Business Address
SUSAN LORRAINE BAILES MFT
301 THE CITY DR S
ORANGE, CA 92868-3205
Phone number: 714-935-6363
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Mailing Address
SUSAN LORRAINE BAILES MFT
32904 CHADLYN CT
WILDOMAR, CA 92595-9309
Phone number:
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