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Individual

BARBARA A STATEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT 49855

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LMFT 49855
CA
174400000X
Specialist

Other

Enumeration date
04/16/2007
Last updated
04/27/2011
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