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1861891764
MARK WEST
SAN DIEGO, CA
NPI
1861891764
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA LMFT81050)
Enumeration Date
2014-08-15
Last Update Date
2014-08-15
Business Address
-- MARK WEST LMFT
3101 4TH AVE
SAN DIEGO, CA 92103-5802
Phone number: 619-964-8493
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Mailing Address
-- MARK WEST LMFT
1286 UNIVERSITY AVE #256
SAN DIEGO, CA 92103-3312
Phone number: 619-964-8493
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