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Organization
PACIFIC TRAUMA TREATMENT CENTER
Active
Organization
PACIFIC TRAUMA TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE GIANA WOODS LMFT (OWNER)
(310) 738-4232
Entity
Organization
Contact information
Practice address
444 S MARENGO AVE, PASADENA, CA 91101-3113
(310) 738-4232
Mailing address
PO BOX 81184, SAN MARINO, CA 91118-1184
(310) 738-4232
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFC46170
CA
Other
Enumeration date
05/11/2013
Last updated
05/11/2013
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