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1962994038
IDA LUCILLE WHITAKER
ESCONDIDO, CA
NPI
1962994038
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 100567)
Enumeration Date
2018-06-04
Last Update Date
2018-06-04
Business Address
Mrs. IDA LUCILLE WHITAKER
1002 E GRAND AVE
ESCONDIDO, CA 92025-4605
Phone number: 760-741-2660
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Mailing Address
Mrs. IDA LUCILLE WHITAKER
615 ALLISON LN
SAN MARCOS, CA 92069-6516
Phone number: 619-454-0602
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