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1154349140
PATRICIA SUZANNE ALSUP
PETALUMA, CA
NPI
1154349140
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: CA PSY12124)
Enumeration Date
2006-07-17
Last Update Date
2022-07-28
Business Address
Dr. PATRICIA SUZANNE ALSUP Ph.D.
229 KEOKUK ST APT 2
PETALUMA, CA 94952-2773
Phone number: 707-630-1789
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Mailing Address
Dr. PATRICIA SUZANNE ALSUP Ph.D.
229 KEOKUK ST APT 2
PETALUMA, CA 94952-2773
Phone number: 707-630-1789
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