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1720133648
CAROL ELIZABETH FABRIC
SAN ANSELMO, CA
NPI
1720133648
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Former Name
CAROL ELIZABETH RUCKER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA M13884)
Enumeration Date
2007-01-23
Last Update Date
2007-07-08
Business Address
MRS. CAROL ELIZABETH FABRIC MFT
21 ENCINA PLACE
SAN ANSELMO, CA 94960
Phone number: 415-721-7864
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Mailing Address
MRS. CAROL ELIZABETH FABRIC MFT
21 ENCINA PLACE
SAN ANSELMO, CA 94960
Phone number: 415-721-7864
Copy
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