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1801189998
CHARLES MATTHEW MORTENSEN
NORTHRIDGE, CA
NPI
1801189998
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 91935)
Enumeration Date
2011-05-23
Last Update Date
2016-05-20
Business Address
Mr. CHARLES MATTHEW MORTENSEN
9452 TEXHOMA AVENUE
NORTHRIDGE, CA 91325
Phone number: 818-521-0320
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Mailing Address
Mr. CHARLES MATTHEW MORTENSEN
9452 TEXHOMA AVE
NORTHRIDGE, CA 91325-2333
Phone number: 818-521-0320
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