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1578008710
MADELINE RAZAVI
BERKELEY, CA
NPI
1578008710
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 74846)
Enumeration Date
2016-12-26
Last Update Date
2017-05-11
Business Address
-- MADELINE RAZAVI LCSW
1918 BONITA AVE
BERKELEY, CA 94704-1014
Phone number: 510-990-2306
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Mailing Address
-- MADELINE RAZAVI LCSW
15632 BAYPOINT AVE
SAN LEANDRO, CA 94579-2789
Phone number: 510-990-2306
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