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1558610238
ELISSA GENSBURG
SAN RAFAEL, CA
NPI
1558610238
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2012-09-10
Last Update Date
2024-05-23
Business Address
ELISSA GENSBURG
1466 LINCOLN AVE
SAN RAFAEL, CA 94901-2021
Phone number: 415-457-3755
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Mailing Address
ELISSA GENSBURG
1466 LINCOLN AVE
SAN RAFAEL, CA 94901-2021
Phone number: 415-457-3755
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