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1013120047
VICKI L WEDEGAERTNER
SANTA ROSA, CA
NPI
1013120047
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFT 35468)
Enumeration Date
2007-05-07
Last Update Date
2007-07-08
Business Address
-- VICKI L WEDEGAERTNER mft
1360 NORTH DUTTON AVENUE, SUITE C
SANTA ROSA, CA 95401
Phone number: 707-303-1532
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Mailing Address
-- VICKI L WEDEGAERTNER mft
P.O. BOX 4949
SANTA ROSA, CA 95405
Phone number:
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