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1386496933
PHYLLIS GRANNIS
SANTA ROSA, CA
NPI
1386496933
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 28437)
Enumeration Date
2024-04-04
Last Update Date
2024-04-04
Business Address
PHYLLIS GRANNIS MFT
506 CORLANO AVE
SANTA ROSA, CA 95404-5227
Phone number: 707-495-1968
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Mailing Address
PHYLLIS GRANNIS MFT
506 CORLANO AVE
SANTA ROSA, CA 95404-5227
Phone number: 707-495-1968
Copy
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