LACEY JANAE WITHAM

CHINO, CA
NPI1982903001
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  #61195)
Enumeration Date2011-03-16
Last Update Date2011-03-16
Business Address
Ms. LACEY JANAE WITHAM M.S.
12530 10TH ST. #C
CHINO, CA 91710
Phone number: 626-536-2664
Mailing Address
Ms. LACEY JANAE WITHAM M.S.
12530 10TH ST. #C
CHINO, CA 91710
Phone number: 626-536-2664
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