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1346993235
SAMANTHA GENNUSO
OAKLAND, CA
NPI
1346993235
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 118076)
Enumeration Date
2022-01-31
Last Update Date
2022-01-31
Business Address
SAMANTHA GENNUSO
7200 BANCROFT AVE STE 133
OAKLAND, CA 94605-2480
Phone number: 510-553-8500
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Mailing Address
SAMANTHA GENNUSO
7200 BANCROFT AVE STE 133
OAKLAND, CA 94605-2480
Phone number: 510-553-8500
Copy
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