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1164100335
TABITHA MARCELLA MAGNER
TRUCKEE, CA
NPI
1164100335
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 134275)
Enumeration Date
2023-07-07
Last Update Date
2023-10-04
Business Address
TABITHA MARCELLA MAGNER
10038 MEADOW WAY UNIT D
TRUCKEE, CA 96161-4974
Phone number: 530-426-2110
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Mailing Address
TABITHA MARCELLA MAGNER
PO BOX 115
KINGS BEACH, CA 96143-0115
Phone number:
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