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1871299842
MICHELLE ANGELA DAZALLA
LA VERNE, CA
NPI
1871299842
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 137676)
Enumeration Date
2023-02-01
Last Update Date
2023-06-06
Business Address
MICHELLE ANGELA DAZALLA AMFT
1350 3RD ST
LA VERNE, CA 91750-5201
Phone number: 909-593-2581
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Mailing Address
MICHELLE ANGELA DAZALLA AMFT
1350 3RD ST
LA VERNE, CA 91750-5201
Phone number: 909-593-2581
Copy
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