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1255614889
CORRISSA MADDEN-GRUBB
SAN RAFAEL, CA
NPI
1255614889
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2011-09-20
Last Update Date
2013-11-15
Business Address
CORRISSA MADDEN-GRUBB
900 FIFTH AVENUE, SUITE 150;
SAN RAFAEL, CA 94901
Phone number: 405-202-3859
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Mailing Address
CORRISSA MADDEN-GRUBB
900 REICHERT AVE #507
NOVATO, CA 94945
Phone number: 480-202-3859
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