KATRINA LYNNE SUPRISE

SANTA ROSA, CA
NPI1316195449
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: CA  83565)
Enumeration Date2008-09-03
Last Update Date2024-11-25
Business Address
KATRINA LYNNE SUPRISE LCSW
3322 CHANATE RD
SANTA ROSA, CA 95404-1708
Phone number: 707-576-8181
Mailing Address
KATRINA LYNNE SUPRISE LCSW
2225 CHALLENGER WAY
SANTA ROSA, CA 95407-5772
Phone number: 707-565-4970
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