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1215962592
MARY J LAGUE
SANTA ROSA, CA
NPI
1215962592
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY17928)
Enumeration Date
2006-07-12
Last Update Date
2021-12-30
Business Address
Dr. MARY J LAGUE Psychologist Psy D
403 CHINN ST
SANTA ROSA, CA 95404-4338
Phone number: 707-575-9522
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Mailing Address
Dr. MARY J LAGUE Psychologist Psy D
1208 MONROE ST
SANTA ROSA, CA 95404-3536
Phone number: 707-575-9522
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