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1851612469
MARK DANIEL BAXTER
LONG BEACH, CA
NPI
1851612469
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC 44286)
Enumeration Date
2010-06-17
Last Update Date
2010-06-17
Business Address
Mr. MARK DANIEL BAXTER LMFT
5353 E 2ND STREET #203
LONG BEACH, CA 90803
Phone number: 714-615-8956
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Mailing Address
Mr. MARK DANIEL BAXTER LMFT
PO BOX 20608
LONG BEACH, CA 90801
Phone number: 562-436-6171
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