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Individual

ANN FALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
4433 E VILLAGE RD, SUITE E, LONG BEACH, CA 90808-1538
(562) 477-4047
Mailing address
5312 E MEZZANINE WAY, LONG BEACH, CA 90808-3536
(562) 477-4047

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT29017
CA

Other

Enumeration date
06/27/2007
Last updated
07/08/2007
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