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1902472707
DINA MABEL KANCEPOLSKY
PORTER RANCH, CA
NPI
1902472707
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA LMFT36966)
Enumeration Date
2021-06-02
Last Update Date
2021-06-02
Business Address
DINA MABEL KANCEPOLSKY
11145 TAMPA AVE STE 18A
PORTER RANCH, CA 91326-2268
Phone number: 323-447-2466
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Mailing Address
DINA MABEL KANCEPOLSKY
11145 TAMPA AVE STE 18A
PORTER RANCH, CA 91326-2268
Phone number: 323-447-2466
Copy
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