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1588202915
MARY HAYNES
PETALUMA, CA
NPI
1588202915
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 82984)
Enumeration Date
2019-12-17
Last Update Date
2019-12-17
Business Address
MARY HAYNES LCSW
6510 PETERSEN RD
PETALUMA, CA 94952-9223
Phone number: 707-815-4604
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Mailing Address
MARY HAYNES LCSW
PO BOX 1018
PETALUMA, CA 94953-1018
Phone number: 707-815-4604
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