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1003583220
PHOENIX SONG
BERKELEY, CA
NPI
1003583220
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 109093)
Enumeration Date
2021-08-25
Last Update Date
2021-12-27
Business Address
PHOENIX SONG LMFT
1400 SHATTUCK AVE, STE 12 #228
BERKELEY, CA 94709-1411
Phone number: 415-545-8215
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Mailing Address
PHOENIX SONG LMFT
1400 SHATTUCK AVE, STE 12 #228
BERKELEY, CA 94709-1411
Phone number: 415-545-8215
Copy
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