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1407123607
THERESA ANNE HAVELKA
SAN LUIS OBISPO, CA
NPI
1407123607
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-11-17
Last Update Date
2013-01-02
Business Address
-- THERESA ANNE HAVELKA
3190 LIRIO CT.
SAN LUIS OBISPO, CA 93401
Phone number: 805-781-3535
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Mailing Address
-- THERESA ANNE HAVELKA
3190 LIRIO CT.
SAN LUIS OBISPO, CA 93401
Phone number:
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