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1437204716
LITSA RENEE TANNER
SANTA ROSA, CA
NPI
1437204716
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC44119)
Enumeration Date
2007-01-24
Last Update Date
2009-04-07
Business Address
-- LITSA RENEE TANNER MS, MFT
319 S E ST STE B
SANTA ROSA, CA 95404-5132
Phone number: 707-694-8316
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Mailing Address
-- LITSA RENEE TANNER MS, MFT
PO BOX 393
SANTA ROSA, CA 95402-0393
Phone number: 707-694-8316
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