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Organization
WEISENBURGER INC.
Active
Organization
WEISENBURGER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRETCHEN WEISENBURGER MFT (PRESIDENT)
(949) 610-0858
Entity
Organization
Contact information
Practice address
232 W MAIN ST STE 103, TUSTIN, CA 92780-7712
(949) 610-0858
Mailing address
232 W MAIN ST STE 103, TUSTIN, CA 92780-7712
(949) 610-0858
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
84290
CA
Other
Enumeration date
11/02/2016
Last updated
11/02/2016
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