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1023445616
LISA BENITEZ
PETALUMA, CA
NPI
1023445616
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA IMF66262)
Enumeration Date
2013-09-27
Last Update Date
2013-09-27
Business Address
LISA BENITEZ MA
365 KUCK LN
PETALUMA, CA 94952-9606
Phone number: 707-795-6954
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Mailing Address
LISA BENITEZ MA
365 KUCK LN
PETALUMA, CA 94952-9606
Phone number: 707-795-6954
Copy
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