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1265628382
JUDITH MARIE LARSON
SOQUEL, CA
NPI
1265628382
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFT25003)
Enumeration Date
2007-09-21
Last Update Date
2007-09-21
Business Address
-- JUDITH MARIE LARSON MFT
5905 SOQUEL DR STE 500
SOQUEL, CA 95073-2850
Phone number: 831-476-3936
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Mailing Address
-- JUDITH MARIE LARSON MFT
5905 SOQUEL DR STE 500
SOQUEL, CA 95073-2850
Phone number: 831-476-3936
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