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1932223245
MELISSA JOHANNSEN
RANCHO CUCAMONGA, CA
NPI
1932223245
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC30931)
Enumeration Date
2007-03-19
Last Update Date
2007-07-08
Business Address
-- MELISSA JOHANNSEN MFT
9089 BASELINE RD STE 200
RANCHO CUCAMONGA, CA 91730-1295
Phone number: 909-980-3567
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Mailing Address
-- MELISSA JOHANNSEN MFT
9089 BASELINE RD STE 200
RANCHO CUCAMONGA, CA 91730-1295
Phone number: 909-980-3567
Copy
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