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1316268832
SUSAN DIANE WILLIS
SACRAMENTO, CA
NPI
1316268832
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 45707)
Enumeration Date
2010-06-18
Last Update Date
2010-06-18
Business Address
Ms. SUSAN DIANE WILLIS MA
3951 PERFORMANCE DR SUITE #G
SACRAMENTO, CA 95838-3264
Phone number: 916-921-0828
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Mailing Address
Ms. SUSAN DIANE WILLIS MA
1313 RANCHO WAY
WOODLAND, CA 95695-4533
Phone number: 916-921-0828
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