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1518085117
LAWRENCE SELBACH
SAN BRUNO, CA
NPI
1518085117
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC37956)
Enumeration Date
2007-03-26
Last Update Date
2007-07-08
Business Address
-- LAWRENCE SELBACH
1290 COMMODORE DR
SAN BRUNO, CA 94066-2304
Phone number: 650-583-1260
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Mailing Address
-- LAWRENCE SELBACH
1290 COMMODORE DR
SAN BRUNO, CA 94066-2304
Phone number: 650-583-1260
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