TERESA FENNELLY

SAN RAFAEL, CA
NPI1265597983
Other NameTERRI FENNELLY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  LCS16689)
Enumeration Date2006-12-22
Last Update Date2011-10-19
Business Address
-- TERESA FENNELLY LCSW
1 SAINT VINCENTS DR
SAN RAFAEL, CA 94903-1504
Phone number: 415-507-2000
Mailing Address
-- TERESA FENNELLY LCSW
1 SAINT VINCENTS DR
SAN RAFAEL, CA 94903-1504
Phone number:
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