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1588802789
THERESA M DAVIS
FOLSOM, CA
NPI
1588802789
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC 38963)
Enumeration Date
2009-01-26
Last Update Date
2009-01-26
Business Address
-- THERESA M DAVIS MFT
310 NATOMA ST # 140
FOLSOM, CA 95630-2620
Phone number: 916-985-7212
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Mailing Address
-- THERESA M DAVIS MFT
5913 BAR HARBOUR CT
ELK GROVE, CA 95758-4230
Phone number: 916-985-7212
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