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Individual

KARA-LEIGH JACOBSEN HUSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATR-BC

Contact information

Practice address
16439 DAZA DR, RAMONA, CA 92065-4612
(626) 833-5307
Mailing address
16439 DAZA DR, RAMONA, CA 92065-4612
(626) 833-5307

Taxonomy

Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
17-296

Other

Enumeration date
06/21/2022
Last updated
06/21/2022
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