MICHAEL CORNWALL

BENICIA, CA
NPI1114313350
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  21297)
Enumeration Date2015-04-14
Last Update Date2015-04-14
Business Address
-- MICHAEL CORNWALL
121 W J ST
BENICIA, CA 94510-3165
Phone number: 707-853-6808
Mailing Address
-- MICHAEL CORNWALL
1553 SHERMAN DR
BENICIA, CA 94510-2648
Phone number: 707-853-6808
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