GRACE MAE IRVINE

CARMICHAEL, CA
NPI1992041081
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  IMF76936)
Enumeration Date2012-12-18
Last Update Date2022-02-11
Business Address
-- GRACE MAE IRVINE MFT Intern #IMF76936
5030 EL CAMINO AVE
CARMICHAEL, CA 95608-4650
Phone number: 916-949-8107
Mailing Address
-- GRACE MAE IRVINE MFT Intern #IMF76936
5030 EL CAMINO AVE
CARMICHAEL, CA 95608-4650
Phone number: 916-949-8107
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