IMOGEN WORMWOOD

SANTA ROSA, CA
NPI1669046389
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy251300000X Local Education Agency (LEA)
Additional Taxonomies101YM0800X Counselor Mental Health
Enumeration Date2021-05-17
Last Update Date2025-09-04
Business Address
IMOGEN WORMWOOD
4415 SONOMA HWY
SANTA ROSA, CA 95409-7100
Phone number: 707-327-0909
Mailing Address
IMOGEN WORMWOOD
447 SEBASTOPOL AVE
SANTA ROSA, CA 95401-8502
Phone number: 707-766-4810
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