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1366590846
MICHAEL LEANDER TABB
SAN RAFAEL, CA
NPI
1366590846
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-01-08
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL LEANDER TABB
120 N REDWOOD DR
SAN RAFAEL, CA 94903-1941
Phone number: 415-473-3323
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Mailing Address
Mr. MICHAEL LEANDER TABB
63 TERRACE DR
SAUSALITO, CA 94965-4006
Phone number: 415-332-6962
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