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1235880097
LARRY STEPHEN DIETZ
NOVATO, CA
NPI
1235880097
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFT13858)
Enumeration Date
2022-01-13
Last Update Date
2022-01-13
Business Address
Dr. LARRY STEPHEN DIETZ PhD
3 HAMILTON LNDG STE 230
NOVATO, CA 94949-2848
Phone number: 415-883-5594
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Mailing Address
Dr. LARRY STEPHEN DIETZ PhD
3 HAMILTON LNDG STE 230
NOVATO, CA 94949-2848
Phone number: 415-883-5594
Copy
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