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1023799467
LAUREN ELLEN BARK
SANTA ROSA, CA
NPI
1023799467
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-07-28
Last Update Date
2023-07-28
Business Address
LAUREN ELLEN BARK
320 10TH ST
SANTA ROSA, CA 95401-5291
Phone number: 707-579-0465
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Mailing Address
LAUREN ELLEN BARK
29 AYALA CT
SAN RAFAEL, CA 94903-3811
Phone number: 858-603-2388
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