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1720209117
JERI LYNN LEISE
SANTA ROSA, CA
NPI
1720209117
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC36649)
Enumeration Date
2007-05-01
Last Update Date
2007-07-08
Business Address
-- JERI LYNN LEISE MFT
1421 GUERNEVILLE RD SUITE 114
SANTA ROSA, CA 95403-7220
Phone number: 707-486-5570
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Mailing Address
-- JERI LYNN LEISE MFT
PO BOX 194
SANTA ROSA, CA 95402-0194
Phone number: 707-486-5570
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