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1609050012
LYNN G FORMAN
REDDING, CA
NPI
1609050012
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC43834)
Enumeration Date
2007-12-20
Last Update Date
2017-02-17
Business Address
-- LYNN G FORMAN
3191 CHURN CREEK RD
REDDING, CA 96002-2123
Phone number: 530-224-7160
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Mailing Address
-- LYNN G FORMAN
3191 CHURN CREEK RD
REDDING, CA 96002-2123
Phone number: 530-224-7160
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