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1487395208
MICHAEL ERIC PRENTICE
CORTE MADERA, CA
NPI
1487395208
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: CA 16601)
Enumeration Date
2022-04-05
Last Update Date
2022-04-05
Business Address
MR. MICHAEL ERIC PRENTICE CCC-SLP
645 TAMALPAIS DR STE B
CORTE MADERA, CA 94925-1613
Phone number: 415-924-2444
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Mailing Address
MR. MICHAEL ERIC PRENTICE CCC-SLP
53 MARINA LAKES DR
RICHMOND, CA 94804-7448
Phone number: 510-372-6671
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