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1649398918
LISA SPIVACK
MILL VALLEY, CA
NPI
1649398918
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC #45618)
Enumeration Date
2007-03-26
Last Update Date
2010-10-25
Business Address
Ms. LISA SPIVACK
16 LOCUST AVE
MILL VALLEY, CA 94941-2806
Phone number: 415-378-2016
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Mailing Address
Ms. LISA SPIVACK
16 LOCUST AVE
MILL VALLEY, CA 94941-2806
Phone number: 415-378-2016
Copy
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