MARY M FOSSUM

SACRAMENTO, CA
NPI1245582121
Professional NameELLY M FOSSUM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  MFC40137)
Enumeration Date2012-10-03
Last Update Date2012-10-03
Business Address
Mrs. MARY M FOSSUM
1722 PROFESSIONAL DR
SACRAMENTO, CA 95825-2105
Phone number: 916-716-0095
Mailing Address
Mrs. MARY M FOSSUM
1722 PROFESSIONAL DR
SACRAMENTO, CA 95825-2105
Phone number: 916-716-0095
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