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1699896795
KIM I MACK
RICHMOND, CA
NPI
1699896795
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC 22328)
Enumeration Date
2007-04-03
Last Update Date
2007-07-08
Business Address
Mr. KIM I MACK MFT
712 KERN ST
RICHMOND, CA 94805-1547
Phone number: 510-215-9665
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Mailing Address
Mr. KIM I MACK MFT
712 KERN ST
RICHMOND, CA 94805-1547
Phone number: 510-215-9665
Copy
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