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Organization
GWEN'S HOUSE MARRIAGE AND FAMILY THERAPY, INC.
Active
Organization
GWEN'S HOUSE MARRIAGE AND FAMILY THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANET DENNIS LMFT (THERAPIST)
(917) 409-7719
Entity
Organization
Contact information
Practice address
7190 W SUNSET BLVD # 62D, LOS ANGELES, CA 90046-4415
(917) 409-7719
Mailing address
10416 PROSPECTOR LN, MORENO VALLEY, CA 92557-4237
(951) 823-4394
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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