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1609034313
GINA WERMUTH
SAN RAFAEL, CA
NPI
1609034313
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 15847)
Enumeration Date
2008-05-29
Last Update Date
2008-05-29
Business Address
-- GINA WERMUTH M.A., CCC-SLP
30 N SAN PEDRO RD STE. 265
SAN RAFAEL, CA 94903-4118
Phone number: 415-479-7880
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Mailing Address
-- GINA WERMUTH M.A., CCC-SLP
120 FLORIBEL AVE
SAN ANSELMO, CA 94960-2215
Phone number: 831-818-2308
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