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1417264755
THEDORIA D EJIMADU
FAIRFIELD, CA
NPI
1417264755
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 114499)
Enumeration Date
2010-09-08
Last Update Date
2023-04-05
Business Address
THEDORIA D EJIMADU
275 BECK AVE.
FAIRFIELD, CA 94533
Phone number: 707-784-1934
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Mailing Address
THEDORIA D EJIMADU
2428 HOOFTRAIL WAY
ANTIOCH, CA 94531-8919
Phone number: 707-694-5677
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