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1467783415
KALIA LYNN CHAN
SAN RAFAEL, CA
NPI
1467783415
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-01-14
Last Update Date
2010-01-14
Business Address
Mr. KALIA LYNN CHAN M.A.
914 MISSION AVE
SAN RAFAEL, CA 94901-6106
Phone number: 415-457-6964
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Mailing Address
Mr. KALIA LYNN CHAN M.A.
914 MISSION AVE
SAN RAFAEL, CA 94901-6106
Phone number: 415-457-6964
Copy
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