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1871219287
LISETTE MANCILLA
CLAREMONT, CA
NPI
1871219287
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA LMFT112680)
Enumeration Date
2022-10-17
Last Update Date
2022-10-17
Business Address
LISETTE MANCILLA LMFT
1966 N MOUNTAIN AVE
CLAREMONT, CA 91711-2605
Phone number: 909-227-1057
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Mailing Address
LISETTE MANCILLA LMFT
1966 N MOUNTAIN AVE
CLAREMONT, CA 91711-2605
Phone number: 909-227-1057
Copy
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