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1255560777
JOHN JOSEPH PRENDERGAST
SAN RAFAEL, CA
NPI
1255560777
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFT20305)
Enumeration Date
2009-07-06
Last Update Date
2009-07-06
Business Address
Dr. JOHN JOSEPH PRENDERGAST Ph.D., MFT
900 5TH AVE STE 203
SAN RAFAEL, CA 94901-2928
Phone number: 415-453-8832
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Mailing Address
Dr. JOHN JOSEPH PRENDERGAST Ph.D., MFT
900 5TH AVE STE 203
SAN RAFAEL, CA 94901-2928
Phone number: 415-453-8832
Copy
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