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1831313501
CHRIS KEITH SOUTHARD
SAN DIEGO, CA
NPI
1831313501
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC34920)
Enumeration Date
2007-04-12
Last Update Date
2007-07-08
Business Address
Mr. CHRIS KEITH SOUTHARD M.A.
10717 CAMINO RUIZ SUITE 104
SAN DIEGO, CA 92126-2360
Phone number: 858-566-5740
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Mailing Address
Mr. CHRIS KEITH SOUTHARD M.A.
3450 AVOCADO VISTA LN
FALLBROOK, CA 92028-7868
Phone number: 760-451-0833
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