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1245713262
KEMBLY ASTUA MAHIRI
SANTA ROSA, CA
NPI
1245713262
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS22591)
Enumeration Date
2018-09-14
Last Update Date
2018-09-14
Business Address
KEMBLY ASTUA MAHIRI LCSW
625 5TH ST
SANTA ROSA, CA 95404-4428
Phone number: 707-565-4489
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Mailing Address
KEMBLY ASTUA MAHIRI LCSW
625 5TH ST
SANTA ROSA, CA 95404-4428
Phone number: 707-565-4489
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