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1740346873
DORIS MARIE LARS
SAN RAFAEL, CA
NPI
1740346873
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-01-01
Last Update Date
2007-07-08
Business Address
-- DORIS MARIE LARS
914 MISSION AVE
SAN RAFAEL, CA 94901-6106
Phone number: 415-457-6964
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Mailing Address
-- DORIS MARIE LARS
104 PERKINS AVE
VALLEJO, CA 94590-5712
Phone number:
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