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1174645642
TIMOTHY J WEIDNER
LOS GATOS, CA
NPI
1174645642
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 41813)
Enumeration Date
2007-04-04
Last Update Date
2007-07-08
Business Address
Mr. TIMOTHY J WEIDNER MFT
14651 S BASCOM AVE STE 230
LOS GATOS, CA 95032-2014
Phone number: 415-509-6295
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Mailing Address
Mr. TIMOTHY J WEIDNER MFT
3846 23RD ST
SAN FRANCISCO, CA 94114-3332
Phone number: 415-509-6295
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