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1962954206
MONICA PROVENCE
LOS ANGELES, CA
NPI
1962954206
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 87245)
Enumeration Date
2016-11-03
Last Update Date
2016-11-03
Business Address
-- MONICA PROVENCE M.A. MFT
201 S SANTA FE AVE SUITE 105
LOS ANGELES, CA 90012-4300
Phone number: 323-426-5919
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Mailing Address
-- MONICA PROVENCE M.A. MFT
1429 E 3RD ST APT 8
LONG BEACH, CA 90802-7638
Phone number: 323-426-5919
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