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1376606913
TED STEWART COUSENS
SAN ANSELMO, CA
NPI
1376606913
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFT 39070)
Enumeration Date
2006-12-18
Last Update Date
2007-07-08
Business Address
MR. TED STEWART COUSENS MFT
130 GREENFIELD AVE STE A
SAN ANSELMO, CA 94960-2451
Phone number: 415-289-2221
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Mailing Address
MR. TED STEWART COUSENS MFT
PO BOX 150540
SAN RAFAEL, CA 94915-0540
Phone number: 415-289-2221
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