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1649352733
MIRIAM S. WALD
PETALUMA, CA
NPI
1649352733
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY10413)
Enumeration Date
2006-10-19
Last Update Date
2007-07-08
Business Address
Dr. MIRIAM S. WALD
523 HAYES LN
PETALUMA, CA 94952-4011
Phone number: 800-257-8715
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Mailing Address
Dr. MIRIAM S. WALD
5062 MOROCCO DR
SANTA ROSA, CA 95409-3605
Phone number: 707-538-7726
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