PHYLLIS KING

SANTA ROSA, CA
NPI1073702304
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  MFC32787)
Enumeration Date2007-10-23
Last Update Date2007-10-23
Business Address
-- PHYLLIS KING
3333 CHANATE RD
SANTA ROSA, CA 95404-1707
Phone number: 707-565-4810
Mailing Address
-- PHYLLIS KING
3333 CHANATE RD
SANTA ROSA, CA 95404-1707
Phone number: 707-565-4810
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