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1730690728
SANDRA LEE KNICKERBOCKER
SAN DIEGO, CA
NPI
1730690728
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 108057)
Enumeration Date
2017-10-17
Last Update Date
2020-03-12
Business Address
SANDRA LEE KNICKERBOCKER LMFT
2816 ADAMS AVE
SAN DIEGO, CA 92116-1401
Phone number: 619-937-1900
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Mailing Address
SANDRA LEE KNICKERBOCKER LMFT
8301 MISSION GORGE RD SPC 86
SANTEE, CA 92071-3580
Phone number: 619-937-1900
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