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1053600825
MARY SPROWL CANNON
SAN JOSE, CA
NPI
1053600825
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC40685)
Enumeration Date
2011-04-01
Last Update Date
2021-04-01
Business Address
Ms. MARY SPROWL CANNON M.A., LMFT
1101 S WINCHESTER BLVD SUITE A101
SAN JOSE, CA 95128-3901
Phone number: 408-859-4983
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Mailing Address
Ms. MARY SPROWL CANNON M.A., LMFT
1101 S WINCHESTER BLVD STE A101
SAN JOSE, CA 95128-3914
Phone number: 408-859-4983
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