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1316103187
LESLIE MAUREEN MERRITT
SAN RAFAEL, CA
NPI
1316103187
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2008-07-31
Last Update Date
2008-09-12
Business Address
-- LESLIE MAUREEN MERRITT
914 MISSION AVE
SAN RAFAEL, CA 94901-6106
Phone number: 415-457-6964
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Mailing Address
-- LESLIE MAUREEN MERRITT
2227 MOLDAVITE LN
SANTA ROSA, CA 95404-6173
Phone number: 707-367-3729
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