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1962172452
JOHANNA P ROQUE
LONG BEACH, CA
NPI
1962172452
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA AMFT143522)
Enumeration Date
2021-09-15
Last Update Date
2023-12-15
Business Address
JOHANNA P ROQUE
850 E WARDLOW RD
LONG BEACH, CA 90807-4628
Phone number: 562-249-9093
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Mailing Address
JOHANNA P ROQUE
850 E WARDLOW RD
LONG BEACH, CA 90807-4628
Phone number: 562-249-9093
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