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Susan Lynette Owen, M.F.T.

Marriage & Family Therapist in San Pedro, CA. Individual provider (NPI-1).

NPI number1639200280
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1639200280
Entity type
Individual (NPI-1)
Name
Ms. Susan Lynette Owen
Credential
M.F.T.
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 7, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family TherapistMFT#18506CAYes

Practice location

732 W 9th St
San Pedro, CA 90731-3634

Phone 310-707-7329

Mailing address

Po Box 9094
San Pedro, CA 90734-9094

Phone 319-707-7329

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