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PRISCILLA J. BAUDOIN MFT

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

Registrant NPI Number: 1164675328

Individual Registrant:
 PRISCILLA J. BAUDOIN MFT
Gender: F
Sole Proprietor

Location and contact information for practice:
35393 AVENUE E  YUCAIPA, CA 92399-4828 US
Tel: 951-741-7973  Fax: --

Contact information for business:
1579 CASTLE PINES LN  BEAUMONT, CA 92223-8521 US
Tel: 951-769-4145  Fax: --

Registration Information:
NPI: 1164675328
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
CAMFC20634

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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