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1841742939
OWNER
SANTA MONICA, CA
NPI
1841742939
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Entity Type
Organization
Authorized Contact
SANDRA MICHELSON
Owner
310-393-0539
Organization Subpart ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
Enumeration Date
2016-10-25
Last Update Date
2016-10-25
Business Address
OWNER
353 12TH ST
SANTA MONICA, CA 90402-2013
Phone number: 310-393-0539
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Mailing Address
OWNER
353 12TH ST
SANTA MONICA, CA 90402-2013
Phone number: 310-393-0539
Copy
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