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1699026765
AMANDA MARIE MASTRUP
SANTA ROSA, CA
NPI
1699026765
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 93544)
Enumeration Date
2012-09-28
Last Update Date
2016-07-28
Business Address
Miss AMANDA MARIE MASTRUP MA, LMFT 93544
1360 N DUTTON AVE STE. 100
SANTA ROSA, CA 95401-4687
Phone number: 707-529-0220
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Mailing Address
Miss AMANDA MARIE MASTRUP MA, LMFT 93544
PO BOX 375
PETALUMA, CA 94953-0375
Phone number: 707-529-0220
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