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1053027961
KRISTEN LEBACQZ
SAN RAFAEL, CA
NPI
1053027961
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 89999)
Enumeration Date
2023-01-24
Last Update Date
2024-04-19
Business Address
KRISTEN LEBACQZ MFT
2400 LAS GALLINAS AVE STE 265B
SAN RAFAEL, CA 94903-1453
Phone number: 415-729-4802
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Mailing Address
KRISTEN LEBACQZ MFT
2400 LAS GALLINAS AVE STE 265B
SAN RAFAEL, CA 94903-1453
Phone number: 415-729-4802
Copy
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