ASHLEY MALONE FAGAN

SAN RAFAEL, CA
NPI1124467618
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  84689)
Enumeration Date2013-06-18
Last Update Date2015-06-01
Business Address
ASHLEY MALONE FAGAN
1 SAINT VINCENTS DR
SAN RAFAEL, CA 94903-1504
Phone number: 415-507-2000
Mailing Address
ASHLEY MALONE FAGAN
1 SAINT VINCENTS DR
SAN RAFAEL, CA 94903-1504
Phone number:
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