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1316090228
THEO W. DURDEN
RICHMOND, CA
NPI
1316090228
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC22162)
Enumeration Date
2007-01-22
Last Update Date
2007-07-08
Business Address
MR. THEO W. DURDEN MFT
303 41ST ST
RICHMOND, CA 94805-2221
Phone number: 510-374-7210
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Mailing Address
MR. THEO W. DURDEN MFT
648 36TH. ST.
RICHMOND, CA 94805
Phone number:
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