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1285962514
ALICE TASSIE PROVOST
DAVIS, CA
NPI
1285962514
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC38081)
Enumeration Date
2009-11-24
Last Update Date
2009-11-24
Business Address
Ms. ALICE TASSIE PROVOST MFT
112 A ST
DAVIS, CA 95616-4608
Phone number: 530-752-2727
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Mailing Address
Ms. ALICE TASSIE PROVOST MFT
112 A ST
DAVIS, CA 95616-4608
Phone number: 530-752-2727
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