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1114548047
BRAD FITZGERALD LABASS
SANTA ROSA, CA
NPI
1114548047
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 53462)
Enumeration Date
2020-05-01
Last Update Date
2020-05-01
Business Address
BRAD FITZGERALD LABASS LMFT
2255 CHALLENGER WAY STE 107
SANTA ROSA, CA 95407-5423
Phone number: 707-565-4797
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Mailing Address
BRAD FITZGERALD LABASS LMFT
1305 EVERGREEN LN
PETALUMA, CA 94954-5415
Phone number: 707-322-9994
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