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1689841603
TIANA MICHELLE MACK
CAMPBELL, CA
NPI
1689841603
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 97763)
Enumeration Date
2008-05-08
Last Update Date
2018-06-27
Business Address
TIANA MICHELLE MACK AMFT
251 LLEWELLYN AVE
CAMPBELL, CA 95008
Phone number: 408-379-3790
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Mailing Address
TIANA MICHELLE MACK AMFT
251 LLEWELLYN AVE
CAMPBELL, CA 95008-1940
Phone number: 408-379-3790
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