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1386786572
SHARON IZEN-TENGBERGEN
VACAVILLE, CA
NPI
1386786572
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA MFC 31994)
Enumeration Date
2007-02-13
Last Update Date
2007-07-08
Business Address
Ms. SHARON IZEN-TENGBERGEN M.F.T.
419 MASON ST STE 201
VACAVILLE, CA 95688-4535
Phone number: 707-491-4494
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Mailing Address
Ms. SHARON IZEN-TENGBERGEN M.F.T.
925 LAKEVILLE ST # 254
PETALUMA, CA 94952-3329
Phone number: 707-491-4494
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