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Organization
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Active
Organization
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Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLA JOY MAYNARD LMFT (DIRECTOR)
(888) 634-6999
Entity
Organization
Contact information
Practice address
817 W GRAND BLVD, CORONA, CA 92882-3265
(888) 634-6999
(888) 634-6999
Mailing address
817 W GRAND BLVD, CORONA, CA 92882-3265
(888) 634-6999
(888) 634-6999
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT46876
CA
Other
Enumeration date
10/05/2014
Last updated
10/05/2014
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