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1396398038
JUNELLE BARRETT PORTER
SANTA ROSA, CA
NPI
1396398038
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 23832)
Enumeration Date
2019-07-22
Last Update Date
2019-07-22
Business Address
JUNELLE BARRETT PORTER
1212 COLLEGE AVE
SANTA ROSA, CA 95404-3976
Phone number: 707-792-2654
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Mailing Address
JUNELLE BARRETT PORTER
1212 COLLEGE AVE
SANTA ROSA, CA 95404-3976
Phone number: 707-792-2654
Copy
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