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1013469048
ROBERTA LATEFA MINEO
SEBASTOPOL, CA
NPI
1013469048
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA 32488)
Enumeration Date
2016-10-25
Last Update Date
2021-04-12
Business Address
ROBERTA LATEFA MINEO PhD
3291 SULLIVAN RD
SEBASTOPOL, CA 95472-9388
Phone number: 707-953-1139
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Mailing Address
ROBERTA LATEFA MINEO PhD
PO BOX 329
GRATON, CA 95444-0329
Phone number: 707-953-1139
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