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1699246603
KATHIE ANNE PONGRACE
VALLEJO, CA
NPI
1699246603
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW69752)
Enumeration Date
2018-12-17
Last Update Date
2018-12-17
Business Address
KATHIE ANNE PONGRACE LCSW
251 GEORGIA ST
VALLEJO, CA 94590-5905
Phone number: 925-429-9000
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Mailing Address
KATHIE ANNE PONGRACE LCSW
3480 BUSKIRK AVE STE 300
PLEASANT HILL, CA 94523-4343
Phone number: 925-825-4700
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