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1700058708
BERT WAYNE SHECKLER-SMITH
PETALUMA, CA
NPI
1700058708
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Former Name
BERT WAYNE SHECKLER
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC 28723)
Enumeration Date
2008-03-31
Last Update Date
2008-03-31
Business Address
Mr. BERT WAYNE SHECKLER-SMITH MFT
47 6TH ST STE 205
PETALUMA, CA 94952-3092
Phone number: 707-363-7281
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Mailing Address
Mr. BERT WAYNE SHECKLER-SMITH MFT
47 6TH ST STE 205
PETALUMA, CA 94952-3092
Phone number: 707-363-7281
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