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Individual

DR. GEORGE R NORTHRUP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
112 WARBLER WAY STE 324, SHAVANO PARK, TX 78231-1448
(626) 376-7708
(626) 793-7607
Mailing address
112 WARBLER WAY STE 324, SHAVANO PARK, TX 78231-1448
(626) 376-7708
(626) 793-7607

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT17019
CA

Other

Enumeration date
04/13/2007
Last updated
08/07/2024
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