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1639231772
NAN THIBODEAUX
FAIRFIELD, CA
NPI
1639231772
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC44738)
Enumeration Date
2006-12-14
Last Update Date
2013-06-05
Business Address
-- NAN THIBODEAUX
490 CHADBOURNE RD SUITE A
FAIRFIELD, CA 94534-9613
Phone number: 707-422-0464
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Mailing Address
-- NAN THIBODEAUX
490 CHADBOURNE RD SUITE A
FAIRFIELD, CA 94534-9613
Phone number: 925-330-7813
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