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1972943124
LISA MARIE DOUGLAS
REDONDO BEACH, CA
NPI
1972943124
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA mfi71212)
Enumeration Date
2013-07-02
Last Update Date
2013-07-02
Business Address
-- LISA MARIE DOUGLAS
2002 VANDERBILT LN APT C
REDONDO BEACH, CA 90278-3062
Phone number: 408-646-7632
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Mailing Address
-- LISA MARIE DOUGLAS
2002 VANDERBILT LN APT C
REDONDO BEACH, CA 90278-3062
Phone number: 408-646-7632
Copy
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