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1955 Fremont Ave South Pasadena CA 91030-4507 | |
| (323) 344-5536 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1955 Fremont Ave, South Pasadena, California |
| Authorized Official Name and Position | Nancy Lavelle (OWNER) |
| Authorized Official Contact | 3233445536 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1955 Fremont Ave South Pasadena CA 91030-4507 Ph: () - | 1955 Fremont Ave South Pasadena CA 91030-4507 Ph: (323) 344-5536 |
| NPI Number | 1023238664 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 11/11/2022 |
| Certification Date | 11/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023238664 | NPI | - | NPPES |
| 7184 | Other | CA | ALMANSOR |
| 7368 | Other | CA | ALMANSOR |
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