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1114674850
MARILYN LEE JAFFE
PETALUMA, CA
NPI
1114674850
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: CA 5698)
Enumeration Date
2022-03-02
Last Update Date
2022-03-02
Business Address
MARILYN LEE JAFFE
508 WEST ST
PETALUMA, CA 94952-2105
Phone number: 707-318-3912
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Mailing Address
MARILYN LEE JAFFE
508 WEST ST
PETALUMA, CA 94952-2105
Phone number: 707-318-3912
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