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1376780411
MIMI DEGENNARO
NOVATO, CA
NPI
1376780411
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: CA 18738)
Enumeration Date
2009-01-12
Last Update Date
2022-08-12
Business Address
MS. MIMI DEGENNARO LCSW
250 BEL MARIN KEYS C-1
NOVATO, CA 94949
Phone number: 415-369-8989
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Mailing Address
MS. MIMI DEGENNARO LCSW
448 IGNACIO #132
NOVATO, CA 94949
Phone number: 415-269-8989
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