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1750107983
ROSALIND TIKVAH BLACK
SAN RAFAEL, CA
NPI
1750107983
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: CA 127118)
Enumeration Date
2024-12-03
Last Update Date
2024-12-05
Business Address
ROSALIND TIKVAH BLACK ASW
1466 LINCOLN AVE
SAN RAFAEL, CA 94901-2021
Phone number: 415-457-3755
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Mailing Address
ROSALIND TIKVAH BLACK ASW
1466 LINCOLN AVE
SAN RAFAEL, CA 94901-2021
Phone number:
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