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1790240745
SOPHORN THEAM CHOAU
MURRIETA, CA
NPI
1790240745
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 111210)
Enumeration Date
2019-02-04
Last Update Date
2019-02-04
Business Address
Dr. SOPHORN THEAM CHOAU PHD, LPCC
29995 TECHNOLOGY DR STE 304
MURRIETA, CA 92563-2634
Phone number: 951-643-0730
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Mailing Address
Dr. SOPHORN THEAM CHOAU PHD, LPCC
1472 FLORAL PARK ST
CORONA, CA 92881-4056
Phone number: 203-893-7888
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