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1194880880
MARY KATHLEEN BRYAN
SAN RAFAEL, CA
NPI
1194880880
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA MFT#21232)
Enumeration Date
2006-12-24
Last Update Date
2007-07-08
Business Address
Ms. MARY KATHLEEN BRYAN MFT
1330 LINCOLN AVE STE 303
SAN RAFAEL, CA 94901-2143
Phone number: 415-455-4771
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Mailing Address
Ms. MARY KATHLEEN BRYAN MFT
42 GRAYLAWN AVE
PETALUMA, CA 94952-2221
Phone number: 707-769-9648
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