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1720104615
LAURA E FANNON
SAN FRANCISCO, CA
NPI
1720104615
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-03-22
Last Update Date
2019-11-15
Business Address
LAURA E FANNON PsyD intern
760 HARRISON ST
SAN FRANCISCO, CA 94107-1235
Phone number: 415-836-1700
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Mailing Address
LAURA E FANNON PsyD intern
1179 N MCDOWELL BLVD
PETALUMA, CA 94954-6559
Phone number: 707-559-7500
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