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Individual

MS. NANCY LEAH RESNIKOFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
7760 HIGHWAY 101 N, GLENEDEN BEACH, OR 97388
(925) 550-0361
Mailing address
PO BOX 572, LINCOLN CITY, OR 97367
(925) 550-0361

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
54505
CA
106H00000X
Marriage & Family Therapist
Primary
T1440
OR

Other

Enumeration date
06/30/2008
Last updated
05/10/2018
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