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1013095215
MICHELLE LEIGH LANE
HAYWARD, CA
NPI
1013095215
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFT39966)
Enumeration Date
2006-11-02
Last Update Date
2024-12-19
Business Address
MICHELLE LEIGH LANE MFT
22248 MAIN ST
HAYWARD, CA 94541
Phone number: 510-620-7988
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Mailing Address
MICHELLE LEIGH LANE MFT
22248 MAIN ST
HAYWARD, CA 94541
Phone number: 510-604-9330
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