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1669733119
AMELIA C GOUGH
GRASS VALLEY, CA
NPI
1669733119
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 45734)
Enumeration Date
2012-05-31
Last Update Date
2013-08-12
Business Address
Mrs. AMELIA C GOUGH LMFT
960 MCCOURTNEY RD
GRASS VALLEY, CA 95949-7422
Phone number: 530-470-3926
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Mailing Address
Mrs. AMELIA C GOUGH LMFT
PO BOX 484
GRASS VALLEY, CA 95945-0484
Phone number: 530-470-3926
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