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1255943080
MARISA SHANAHAN
SEBASTOPOL, CA
NPI
1255943080
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2020-08-21
Last Update Date
2024-08-28
Business Address
MARISA SHANAHAN
2264 GREEN HILL RD
SEBASTOPOL, CA 95472-9034
Phone number: 707-823-3385
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Mailing Address
MARISA SHANAHAN
2264 GREEN HILL RD
SEBASTOPOL, CA 95472-9034
Phone number: 707-823-3385
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