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1649282450
DIANE A. SUFFRIDGE
SAN RAFAEL, CA
NPI
1649282450
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: CA PSY10707)
Enumeration Date
2006-08-12
Last Update Date
2014-07-16
Business Address
DIANE A. SUFFRIDGE PH.D.
555 NORTHGATE DR FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA 94903-3680
Phone number: 415-491-5708
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Mailing Address
DIANE A. SUFFRIDGE PH.D.
555 NORTHGATE DR FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA 94903-3680
Phone number: 415-491-5708
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