Individual
MRS. ANN WAGNER DIMOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.F.T.
Contact information
Practice address
9659 BALBOA BLVD, NORTHRIDGE, CA 91325-1902
(818) 349-1401
(818) 988-5474
Mailing address
PO BOX 280542, NORTHRIDGE, CA 91328-0542
(818) 349-1401
(818) 988-5474
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFC23900
CA
Other
Enumeration date
12/31/2006
Last updated
04/26/2026
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