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1114551330
SUMMER DAWN MEDINA
SAN RAFAEL, CA
NPI
1114551330
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 70819)
Enumeration Date
2020-02-26
Last Update Date
2020-02-28
Business Address
Ms. SUMMER DAWN MEDINA MSW
3270 KERNER BLVD STE A
SAN RAFAEL, CA 94901-4840
Phone number: 415-473-2305
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Mailing Address
Ms. SUMMER DAWN MEDINA MSW
3270 KERNER BLVD STE A
SAN RAFAEL, CA 94901-4840
Phone number: 415-473-2305
Copy
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