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1194747170
GENELL LESLIE RESTIVO
REDDING, CA
NPI
1194747170
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 52551)
Enumeration Date
2006-07-25
Last Update Date
2012-12-05
Business Address
Mrs. GENELL LESLIE RESTIVO MFT
855 CANYON RD
REDDING, CA 96001-5544
Phone number: 530-378-1855
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Mailing Address
Mrs. GENELL LESLIE RESTIVO MFT
29864 PARADISE HILL LN
SHINGLETOWN, CA 96088-9416
Phone number: 530-474-3120
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