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1508120379
LAISHACAROL PRONDZINSKI
SAN RAFAEL, CA
NPI
1508120379
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-06-27
Last Update Date
2012-06-27
Business Address
-- LAISHACAROL PRONDZINSKI
900 5TH AVE STE 150
SAN RAFAEL, CA 94901-2928
Phone number: 415-457-6964
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Mailing Address
-- LAISHACAROL PRONDZINSKI
1337 WOODY CREEK LN
WINDSOR, CA 95492-9488
Phone number:
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