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Organization
WINDFALL FAMILY THERAPY PROF CORP
Active
Organization
WINDFALL FAMILY THERAPY PROF CORP
Active
Other names
Windfall Family Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
LORRAINE ROSE IOCOLANO LMFT (CEO)
(424) 264-5288
Entity
Organization
Contact information
Practice address
1891 N GAFFEY ST STE I, SAN PEDRO, CA 90731-1268
(424) 264-5288
(310) 634-0370
Mailing address
1891 N GAFFEY ST STE I, SAN PEDRO, CA 90731-1268
(310) 621-9687
(310) 634-0370
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
12/02/2024
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