LAURIE ELIZABETH BUNTAIN

SAN RAFAEL, CA
NPI1073694600
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  MFT43300)
Enumeration Date2006-10-18
Last Update Date2007-07-08
Business Address
Ms. LAURIE ELIZABETH BUNTAIN MFT
1 SAINT VINCENTS DR
SAN RAFAEL, CA 94903-1504
Phone number: 415-507-4244
Mailing Address
Ms. LAURIE ELIZABETH BUNTAIN MFT
PO BOX 2041
SAN ANSELMO, CA 94979-2041
Phone number: 415-721-9555
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