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1508026790
MARISA LEE DICKFOSS
CARMICHAEL, CA
NPI
1508026790
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2008-06-11
Last Update Date
2008-06-11
Business Address
-- MARISA LEE DICKFOSS
5030 EL CAMINO AVE
CARMICHAEL, CA 95608-4650
Phone number: 916-609-5100
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Mailing Address
-- MARISA LEE DICKFOSS
5030 EL CAMINO AVE
CARMICHAEL, CA 95608-4650
Phone number: 916-609-5100
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