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1841966322
PAMELA DERITIS
FOUNTAIN VALLEY, CA
NPI
1841966322
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 116077)
Enumeration Date
2021-08-17
Last Update Date
2024-11-13
Business Address
PAMELA DERITIS LMFT151030
16405 ROSEWOOD ST
FOUNTAIN VALLEY, CA 92708-1938
Phone number: 323-380-8857
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Mailing Address
PAMELA DERITIS LMFT151030
16405 ROSEWOOD ST
FOUNTAIN VALLEY, CA 92708-1938
Phone number: 714-717-1490
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