KIM I MACK

RICHMOND, CA
NPI1699896795
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  MFC 22328)
Enumeration Date2007-04-03
Last Update Date2007-07-08
Business Address
Mr. KIM I MACK MFT
712 KERN ST
RICHMOND, CA 94805-1547
Phone number: 510-215-9665
Mailing Address
Mr. KIM I MACK MFT
712 KERN ST
RICHMOND, CA 94805-1547
Phone number: 510-215-9665
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