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1073735700
HADI KOESNODIHARDJO
SAN CARLOS, CA
NPI
1073735700
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC50900)
Enumeration Date
2007-05-03
Last Update Date
2020-04-14
Business Address
-- HADI KOESNODIHARDJO
1161 CHERRY ST SUITE K
SAN CARLOS, CA 94070-3135
Phone number: 415-968-9540
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Mailing Address
-- HADI KOESNODIHARDJO
PO BOX 70
REDWOOD CITY, CA 94064-0070
Phone number: 415-968-9540
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