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1629338272
SUMMER YOUNGBLOOD
SAN RAFAEL, CA
NPI
1629338272
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-05-16
Last Update Date
2012-05-17
Business Address
-- SUMMER YOUNGBLOOD
900 5TH AVE SUITE 150
SAN RAFAEL, CA 94901-2959
Phone number: 415-457-6964
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Mailing Address
-- SUMMER YOUNGBLOOD
1625 HERBERT ST #13
SANTA ROSA, CA 95401-4270
Phone number: 801-712-0007
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