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1295268886
CHARLES WATTENBERG
PETALUMA, CA
NPI
1295268886
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MX18124)
Enumeration Date
2017-04-10
Last Update Date
2017-04-10
Business Address
-- CHARLES WATTENBERG MFT
1301 REDWOOD WAY SUITE 223
PETALUMA, CA 94954-1107
Phone number: 707-762-2998
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Mailing Address
-- CHARLES WATTENBERG MFT
1301 REDWOOD WAY SUITE 223
PETALUMA, CA 94954-1107
Phone number: 707-762-2998
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