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1356478440
MARK ANTHONY EDWARDS
SAN RAFAEL, CA
NPI
1356478440
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA mfc 36908)
Enumeration Date
2007-02-27
Last Update Date
2007-07-08
Business Address
Mr. MARK ANTHONY EDWARDS MS, MFT
711 D ST SUITE 203
SAN RAFAEL, CA 94901-3707
Phone number: 415-456-6523
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Mailing Address
Mr. MARK ANTHONY EDWARDS MS, MFT
253 HUMBOLDT ST
SAN RAFAEL, CA 94901-1024
Phone number: 415-456-6523
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