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1184344749
GABRIELLE KENNGOTT
DIAMOND SPRINGS, CA
NPI
1184344749
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 142411)
Enumeration Date
2022-09-01
Last Update Date
2023-10-30
Business Address
GABRIELLE KENNGOTT
4250 FOWLER LN STE 204
DIAMOND SPRINGS, CA 95619-9782
Phone number: 415-713-0605
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Mailing Address
GABRIELLE KENNGOTT
PO BOX 1987
DIAMOND SPRINGS, CA 95619-1987
Phone number:
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