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1326194911
JOHN ANTHONY DEDOMENICO
BERKELEY, CA
NPI
1326194911
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CA MFC 30336)
Enumeration Date
2007-01-26
Last Update Date
2007-07-08
Business Address
Mr. JOHN ANTHONY DEDOMENICO M.S. MFT
2020 BLAKE ST
BERKELEY, CA 94704
Phone number: 415-746-1967
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Mailing Address
Mr. JOHN ANTHONY DEDOMENICO M.S. MFT
2020 BLAKE ST
BERKELEY, CA 94704-2604
Phone number: 510-848-2444
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