EDGAR CARL DE VAN IV

SAN RAFAEL, CA
NPI1578756599
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-08-22
Last Update Date2007-08-22
Business Address
-- EDGAR CARL DE VAN IV MFT Intern/Trainee
555 NORTHGATE DR FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA 94903-3680
Phone number: 415-491-5700
Mailing Address
-- EDGAR CARL DE VAN IV MFT Intern/Trainee
555 NORTHGATE DR FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA 94903-3680
Phone number: 415-491-5700
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