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1063698454
LORRAINE BLUE
SANTA ROSA, CA
NPI
1063698454
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 21206)
Enumeration Date
2008-01-15
Last Update Date
2008-01-15
Business Address
Ms. LORRAINE BLUE MFT
633 CHERRY ST
SANTA ROSA, CA 95404-4202
Phone number: 707-522-8603
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Mailing Address
Ms. LORRAINE BLUE MFT
633 CHERRY ST
SANTA ROSA, CA 95404-4202
Phone number: 707-522-8603
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