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Individual

ANDREA FLEETHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
15315 RAYEN ST, NORTH HILLS, CA 91343-5117
(818) 892-3423
(818) 893-4509
Mailing address
15315 RAYEN ST, NORTH HILLS, CA 91343-5117
(818) 892-3423
(818) 893-4509

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMF 61405
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
95-2633765
MEDI-CAL
CA
Enumeration date
09/26/2008
Last updated
01/06/2014
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