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1366083016
MARISSA WALES
SAN MATEO, CA
NPI
1366083016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA AMFT127291)
Enumeration Date
2019-10-03
Last Update Date
2022-07-19
Business Address
MARISSA WALES AMFT
1108 S EL CAMINO REAL
SAN MATEO, CA 94402-2804
Phone number: 650-458-0026
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Mailing Address
MARISSA WALES AMFT
1108 S EL CAMINO REAL
SAN MATEO, CA 94402-2804
Phone number: 650-458-0026
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