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1013484773
SHOSHANA ROSE DAVIS
SEBASTOPOL, CA
NPI
1013484773
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA AMFT110154)
Enumeration Date
2018-10-30
Last Update Date
2019-04-02
Business Address
SHOSHANA ROSE DAVIS AMFT
7765 HEALDSBURG AVE
SEBASTOPOL, CA 95472-3309
Phone number: 707-696-9648
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Mailing Address
SHOSHANA ROSE DAVIS AMFT
PO BOX 2743
SEBASTOPOL, CA 95473-2743
Phone number: 707-696-9648
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