SUSAN ANNE THEOBALD

SAN RAFAEL, CA
NPI1265621445
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  Lcs 24082)
Enumeration Date2007-10-23
Last Update Date2007-10-23
Business Address
-- SUSAN ANNE THEOBALD LCSW
1320 GRAND AVE
SAN RAFAEL, CA 94901-2233
Phone number: 415-747-8965
Mailing Address
-- SUSAN ANNE THEOBALD LCSW
1320 GRAND AVE
SAN RAFAEL, CA 94901-2233
Phone number: 415-747-8965
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