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1679326110
IAN CHARLES MASON
SAN RAFAEL, CA
NPI
1679326110
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 141012)
Enumeration Date
2024-04-05
Last Update Date
2024-04-05
Business Address
IAN CHARLES MASON MFT
710 C ST STE 7D
SAN RAFAEL, CA 94901-3891
Phone number: 415-483-2810
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Mailing Address
IAN CHARLES MASON MFT
39 JADE CT APT 3
NOVATO, CA 94945-2360
Phone number: 415-342-3455
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