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1003068966
MARY LIGHTHOLDER
SAN LEANDRO, CA
NPI
1003068966
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2008-10-22
Last Update Date
2012-08-30
Business Address
-- MARY LIGHTHOLDER
500 DAVIS ST
SAN LEANDRO, CA 94577-2757
Phone number: 510-618-6428
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Mailing Address
-- MARY LIGHTHOLDER
41225 APRICOT LN
FREMONT, CA 94539-4501
Phone number: 510-618-6428
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