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1104503614
KATIE MARIE GEORIS EITZEN
SAN LUIS OBISPO, CA
NPI
1104503614
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA AMFT139828)
Enumeration Date
2023-06-28
Last Update Date
2023-06-28
Business Address
KATIE MARIE GEORIS EITZEN MS, AMFT
51 ZACA LN STE 100
SAN LUIS OBISPO, CA 93401-7353
Phone number: 805-226-5400
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Mailing Address
KATIE MARIE GEORIS EITZEN MS, AMFT
774 OAK ST
MONTEREY, CA 93940-1212
Phone number: 619-339-8852
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