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1992227573
SUSIE MARIA IBRAHIM
TUSTIN, CA
NPI
1992227573
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Former Name
SUSAN MARIA ALEXANDER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 96254)
Enumeration Date
2017-07-14
Last Update Date
2021-07-08
Business Address
Mrs. SUSIE MARIA IBRAHIM MFTI
17772 IRVINE BLVD SUITE 102-1
TUSTIN, CA 92780
Phone number: 657-333-6144
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Mailing Address
Mrs. SUSIE MARIA IBRAHIM MFTI
17772 IRVINE BLVD SUITE 102-1
TUSTIN, CA 92780
Phone number: 657-333-6144
Copy
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