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1902464209
DIANA NORTHNESS
SAN LUIS OBISPO, CA
NPI
1902464209
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 110394)
Enumeration Date
2019-05-31
Last Update Date
2019-05-31
Business Address
DIANA NORTHNESS AMFT
2925 MCMILLAN AVE STE 108
SAN LUIS OBISPO, CA 93401-6765
Phone number: 805-781-4948
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Mailing Address
DIANA NORTHNESS AMFT
1620 LONGBRANCH AVE
GROVER BEACH, CA 93433-2554
Phone number:
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