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1902565351
JENNIFER BLAIR TANNENBAUM
LOS ANGELES, CA
NPI
1902565351
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 129287)
Enumeration Date
2021-12-13
Last Update Date
2021-12-13
Business Address
JENNIFER BLAIR TANNENBAUM LMFT
3569 VINTON AVE APT 108
LOS ANGELES, CA 90034-4868
Phone number: 818-661-7082
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Mailing Address
JENNIFER BLAIR TANNENBAUM LMFT
29302 LARO DR
AGOURA HILLS, CA 91301-1608
Phone number: 818-661-7082
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