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Organization
SUSAN QUINN
Active
Organization
SUSAN QUINN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN QUINN (OWNER)
(310) 600-3458
Entity
Organization
Contact information
Practice address
12011 SAN VICENTE BLVD STE 402, LOS ANGELES, CA 90049-4946
(310) 600-3458
Mailing address
12011 SAN VICENTE BLVD STE 402, LOS ANGELES, CA 90049-4946
(310) 600-3458
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFC28220
CA
Other
Enumeration date
07/01/2008
Last updated
09/30/2016
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