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1053189464
REBECCA TIVANG
SANTA CRUZ, CA
NPI
1053189464
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 143571)
Enumeration Date
2023-12-14
Last Update Date
2023-12-14
Business Address
REBECCA TIVANG
700 FREDERICK ST STE 103
SANTA CRUZ, CA 95062-2239
Phone number: 831-996-1222
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Mailing Address
REBECCA TIVANG
700 FREDERICK ST STE 103
SANTA CRUZ, CA 95062-2239
Phone number:
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