WAKANDA ROSE

SANTA ROSA, CA
NPI1689128001
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-08-15
Last Update Date2016-08-15
Business Address
-- WAKANDA ROSE MA
254 BREY RD
SANTA ROSA, CA 95409-5556
Phone number: 707-583-9304
Mailing Address
-- WAKANDA ROSE MA
254 BREY RD
SANTA ROSA, CA 95409-5556
Phone number: 707-583-9304
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