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1255340576
SUSAN IRENE KOENIG
FAIR OAKS, CA
NPI
1255340576
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFT 24989)
Enumeration Date
2006-08-05
Last Update Date
2007-07-08
Business Address
Dr. SUSAN IRENE KOENIG LMFT
4711 NEW YORK AVE
FAIR OAKS, CA 95628-5834
Phone number: 916-967-4956
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Mailing Address
Dr. SUSAN IRENE KOENIG LMFT
4711 NEW YORK AVE
FAIR OAKS, CA 95628-5834
Phone number: 916-967-4956
Copy
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