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1891913877
IVAN DIAMOND
SANTA CRUZ, CA
NPI
1891913877
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA Mq17289)
Enumeration Date
2007-04-23
Last Update Date
2007-07-08
Business Address
-- IVAN DIAMOND MFT
303 WATER ST SUITE 6
SANTA CRUZ, CA 95060-4017
Phone number: 831-471-3900
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Mailing Address
-- IVAN DIAMOND MFT
303 WATER ST SUITE 6
SANTA CRUZ, CA 95060-4017
Phone number: 831-471-3900
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