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1194956771
TIMOTHY MICHAEL CORDELL
SAN RAFAEL, CA
NPI
1194956771
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2009-07-30
Last Update Date
2009-07-30
Business Address
MR. TIMOTHY MICHAEL CORDELL
555 NORTHGATE DR FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA 94903-3680
Phone number: 415-626-2388
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Mailing Address
MR. TIMOTHY MICHAEL CORDELL
555 NORTHGATE DR FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA 94903-3680
Phone number: 415-626-2388
Copy
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