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Individual

MS. ANN MARIE VAUGHN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2180 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4558
(805) 781-4275
Mailing address
1794 TONINI DR APT 58, SAN LUIS OBISPO, CA 93405-7457
(559) 473-6880

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
108378
CA
225400000X
Rehabilitation Practitioner

Other

Enumeration date
01/08/2007
Last updated
09/12/2024
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