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1417060203
MOSS HENRY
SANTA ROSA, CA
NPI
1417060203
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC29073)
Enumeration Date
2006-08-16
Last Update Date
2007-07-08
Business Address
Mr. MOSS HENRY MFT
884-3RD ST. SUITE D
SANTA ROSA, CA 95404
Phone number: 707-525-8968
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Mailing Address
Mr. MOSS HENRY MFT
884-3RD STREET SUITE D
SANTA ROSA, CA 95404
Phone number: 707-525-8968
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