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1700242989
MARK MAUTNER
FAIRFIELD, CA
NPI
1700242989
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA LMFT106372)
Enumeration Date
2016-01-04
Last Update Date
2022-10-05
Business Address
MARK MAUTNER M.A.
470 CHADBOURNE RD
FAIRFIELD, CA 94534-9600
Phone number: 707-224-8266
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Mailing Address
MARK MAUTNER M.A.
2101 COURAGE DR
FAIRFIELD, CA 94533-6717
Phone number: 707-479-7606
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