JANE ELLEN VAN WAGONER

FULLERTON, CA
NPI1972728657
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  MR022526)
Enumeration Date2007-04-16
Last Update Date2007-07-08
Business Address
Mrs. JANE ELLEN VAN WAGONER MFT
1370 BREA BLVD STE 120
FULLERTON, CA 92835-4123
Phone number: 714-738-1733
Mailing Address
Mrs. JANE ELLEN VAN WAGONER MFT
1370 BREA BLVD STE 120
FULLERTON, CA 92835-4123
Phone number: 714-738-1733
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