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1366998981
WILLIAM GLENN
SANTA ROSA, CA
NPI
1366998981
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 25506)
Enumeration Date
2016-09-01
Last Update Date
2016-09-01
Business Address
-- WILLIAM GLENN MFT
1496 WILLOWSIDE ROAD
SANTA ROSA, CA 95401
Phone number: 415-250-0138
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Mailing Address
-- WILLIAM GLENN MFT
1496 WILLOWSIDE RD
SANTA ROSA, CA 95401-3920
Phone number: 415-250-0138
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