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1992041081
GRACE MAE IRVINE
CARMICHAEL, CA
NPI
1992041081
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA IMF76936)
Enumeration Date
2012-12-18
Last Update Date
2022-02-11
Business Address
-- GRACE MAE IRVINE MFT Intern #IMF76936
5030 EL CAMINO AVE
CARMICHAEL, CA 95608-4650
Phone number: 916-949-8107
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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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