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Individual
JADELYN THANH WANG
Active
Individual
JADELYN THANH WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
107850
CA
106H00000X
Marriage & Family Therapist
—
NULL
320800000X
Mental Illness Community Based Residential Treatment Facility
—
NULL
Other
Enumeration date
05/05/2010
Last updated
11/27/2018
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