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1518020486
HARRY COLLAMORE
SAN RAFAEL, CA
NPI
1518020486
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFT 22125)
Enumeration Date
2006-12-19
Last Update Date
2007-07-08
Business Address
Mr. HARRY COLLAMORE MFT
914 MISSION AVE
SAN RAFAEL, CA 94901-6106
Phone number: 415-457-1925
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Mailing Address
Mr. HARRY COLLAMORE MFT
62 GREGORY DR
FAIRFAX, CA 94930-1005
Phone number:
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