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1962827006
DWAYNE SHIPP
LONG BEACH, CA
NPI
1962827006
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 73150)
Enumeration Date
2014-02-26
Last Update Date
2014-11-25
Business Address
-- DWAYNE SHIPP
5190 ATLANTIC AVE
LONG BEACH, CA 90805-6510
Phone number: 562-218-1868
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Mailing Address
-- DWAYNE SHIPP
5190 ATLANTIC AVE
LONG BEACH, CA 90805
Phone number:
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