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Individual
MRS. STEPHANIE MESDJIAN
Active
Individual
MRS. STEPHANIE MESDJIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.F.T.1
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
61620
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61620
BBS, MARRIAGE AND FAMILY THERAPIST-INTERN
CA
Enumeration date
10/21/2010
Last updated
10/21/2010
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