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1932486172
WEN FAN
SAN JOSE, CA
NPI
1932486172
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 93489)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2011-11-15
Last Update Date
2022-01-03
Business Address
-- WEN FAN M.A.
185 MARTINVALE LN
SAN JOSE, CA 95119-1319
Phone number: 408-207-0070
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Mailing Address
-- WEN FAN M.A.
110 MONTEVINA WAY
HAYWARD, CA 94545-2348
Phone number:
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