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1255790754
REA CARROLL
SAN ANDREAS, CA
NPI
1255790754
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA LMFT115445)
Enumeration Date
2016-02-12
Last Update Date
2021-10-06
Business Address
REA CARROLL
564 MOUNTAIN RANCH RD # 5
SAN ANDREAS, CA 95249-9782
Phone number: 209-498-2227
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Mailing Address
REA CARROLL
564 MOUNTAIN RANCH RD # 5
SAN ANDREAS, CA 95249-9782
Phone number: 209-498-2227
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