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1982155198
JAKE EDWARD GOLDMAN
SANTA MONICA, CA
NPI
1982155198
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 51273)
Enumeration Date
2016-10-23
Last Update Date
2016-10-23
Business Address
Mr. JAKE EDWARD GOLDMAN LMFT
2730 WILSHIRE BLVD SUITE 630
SANTA MONICA, CA 90403-4743
Phone number: 213-915-4064
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Mailing Address
Mr. JAKE EDWARD GOLDMAN LMFT
2730 WILSHIRE BLVD SUITE 630
SANTA MONICA, CA 90403-4743
Phone number: 213-915-4064
Copy
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