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1811772106
JACQUELYN LARSON
LA CANADA, CA
NPI
1811772106
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 115070)
Enumeration Date
2023-08-28
Last Update Date
2023-08-28
Business Address
JACQUELYN LARSON MS, MFT
1150 FOOTHILL BLVD STE D
LA CANADA, CA 91011-3269
Phone number: 747-236-4300
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Mailing Address
JACQUELYN LARSON MS, MFT
1150 FOOTHILL BLVD STE D
LA CANADA, CA 91011-3269
Phone number:
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