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1720625056
THOMAS RICHARD HANSON
SANTA ROSA, CA
NPI
1720625056
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-12-05
Last Update Date
2019-12-05
Business Address
THOMAS RICHARD HANSON
634 PRESSLEY ST
SANTA ROSA, CA 95404-5526
Phone number: 707-573-6955
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Mailing Address
THOMAS RICHARD HANSON
634 PRESSLEY ST
SANTA ROSA, CA 95404-5526
Phone number: 707-573-6955
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