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1912448655
LACEY JIMENEZ
TARZANA, CA
NPI
1912448655
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
Enumeration Date
2017-03-14
Last Update Date
2017-03-14
Business Address
-- LACEY JIMENEZ
19634 VENTURA BLVD STE 212
TARZANA, CA 91356-2984
Phone number: 818-758-9450
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Mailing Address
-- LACEY JIMENEZ
19634 VENTURA BLVD STE 212
TARZANA, CA 91356-2984
Phone number: 818-758-9450
Copy
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