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1619488657
MARTHA IMELDA CORNEJO
BERKELEY, CA
NPI
1619488657
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2017-10-17
Last Update Date
2018-12-21
Business Address
MARTHA IMELDA CORNEJO MFTI
1255 ALLSTON WAY
BERKELEY, CA 94702-1833
Phone number: 510-845-9010
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Mailing Address
MARTHA IMELDA CORNEJO MFTI
165 SUMMERTIME LN
SUISUN CITY, CA 94585-1305
Phone number: 707-290-2782
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