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1588147201
KRISTINE TERGESEN
PETALUMA, CA
NPI
1588147201
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW21934)
Enumeration Date
2018-09-09
Last Update Date
2018-12-22
Business Address
KRISTINE TERGESEN LCSW
124 HOWARD ST
PETALUMA, CA 94952-2922
Phone number: 707-774-5896
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Mailing Address
KRISTINE TERGESEN LCSW
872 OLIVE ST
PETALUMA, CA 94952-4947
Phone number: 707-774-5896
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