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1568157048
TEA MAIN
SAN LUIS OBISPO, CA
NPI
1568157048
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA AMFT138745)
Enumeration Date
2023-04-10
Last Update Date
2023-06-19
Business Address
TEA MAIN AMFT
441 MARSH ST
SAN LUIS OBISPO, CA 93401-6106
Phone number: 805-234-8007
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Mailing Address
TEA MAIN AMFT
441 MARSH ST
SAN LUIS OBISPO, CA 93401-6106
Phone number: 805-457-3545
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