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1336267996
TAMMY ANDRA SOUZA
LODI, CA
NPI
1336267996
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC 40641)
Enumeration Date
2007-03-26
Last Update Date
2018-01-25
Business Address
TAMMY ANDRA SOUZA MFT
404 W. PINE STREET SUITE 1
LODI, CA 95240
Phone number: 209-712-9077
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Mailing Address
TAMMY ANDRA SOUZA MFT
404 W. PINE STREET SUITE 1
LODI, CA 95240
Phone number: 209-712-9077
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