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1295162675
DAN BEACH
PETALUMA, CA
NPI
1295162675
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Professional Name
DANIEL BEACH
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC22739)
Enumeration Date
2013-10-01
Last Update Date
2014-07-11
Business Address
-- DAN BEACH MA
365 KUCK LN
PETALUMA, CA 94952-9606
Phone number: 707-795-6954
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Mailing Address
-- DAN BEACH MA
365 KUCK LN
PETALUMA, CA 94952-9606
Phone number: 707-795-6954
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