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1104988534
IRA KAUFMAN
SANTA ROSA, CA
NPI
1104988534
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: CA LCS17902)
Enumeration Date
2006-12-14
Last Update Date
2007-07-24
Business Address
Mr. IRA KAUFMAN LCSW
401 BICENTENNIAL DRIVE
SANTA ROSA, CA 95404
Phone number: 707-571-4015
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Mailing Address
Mr. IRA KAUFMAN LCSW
401 BICENTENNIAL DRIVE
SANTA ROSA, CA 95404
Phone number: 707-571-4015
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