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1518275171
SUSAN MICHELLE MCELLIGOTT
NOVATO, CA
NPI
1518275171
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 941735064)
Enumeration Date
2010-09-16
Last Update Date
2010-09-16
Business Address
Mrs. SUSAN MICHELLE MCELLIGOTT
680 WILSON AVE
NOVATO, CA 94947-3825
Phone number: 415-892-1643
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Mailing Address
Mrs. SUSAN MICHELLE MCELLIGOTT
680 WILSON AVE
NOVATO, CA 94947-3825
Phone number: 415-892-1643
Copy
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