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1023217932
TATUM DANIELLE STOCKARD
HAYWARD, CA
NPI
1023217932
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA IMF 62270)
Enumeration Date
2007-07-12
Last Update Date
2013-02-04
Business Address
Ms. TATUM DANIELLE STOCKARD M.S., MFT-Intern,
21455 BIRCH ST STE 201
HAYWARD, CA 94541-2165
Phone number: 510-583-0414
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Mailing Address
Ms. TATUM DANIELLE STOCKARD M.S., MFT-Intern,
21455 BIRCH ST STE 201
HAYWARD, CA 94541-2165
Phone number: 510-583-0414
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