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ELISA MARIE STARNES BRAGGINS LMFT

>> Marriage & Family Therapist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1376041400

Individual Registrant:
 ELISA MARIE STARNES BRAGGINS LMFT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
16453 BEAR VALLEY RD  HESPERIA, CA 92345-1752 US
Tel: 760-956-4400  Fax: --

Contact information for business:
16453 BEAR VALLEY RD  HESPERIA, CA 92345-1752 US
Tel: 760-956-4400  Fax: --

Registration Information:
NPI: 1376041400
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
CA100790

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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