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1013240647
TAMARA MARIE MICKELSON
SAN JOSE, CA
NPI
1013240647
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
Enumeration Date
2009-09-15
Last Update Date
2009-09-15
Business Address
-- TAMARA MARIE MICKELSON
1885 LUNDY AVE STE 223
SAN JOSE, CA 95131-1888
Phone number: 408-284-9000
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Mailing Address
-- TAMARA MARIE MICKELSON
701 SHELTER CREEK LN APT 8131
SAN BRUNO, CA 94066-3855
Phone number: 805-705-9808
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