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1891015608
DIANE LAURA GOUGH
CAMARILLO, CA
NPI
1891015608
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFT15882)
Enumeration Date
2010-06-03
Last Update Date
2013-01-22
Business Address
Ms. DIANE LAURA GOUGH MFT
841 CHANNEL ISLANDS DR
CAMARILLO, CA 93012-9180
Phone number: 805-279-7160
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Mailing Address
Ms. DIANE LAURA GOUGH MFT
841 CHANNEL ISLANDS DR
CAMARILLO, CA 93012-9180
Phone number: 805-279-7160
Copy
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