GWYNNETH MADELEINE DOMECQ

OAKLAND, CA
NPI1659068096
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  144158)
Enumeration Date2023-04-18
Last Update Date2024-09-19
Business Address
GWYNNETH MADELEINE DOMECQ
3301 E 12TH ST
OAKLAND, CA 94601-3424
Phone number: 510-269-9030
Mailing Address
GWYNNETH MADELEINE DOMECQ
2556 61ST AVE
OAKLAND, CA 94605-1416
Phone number:
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