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1790145803
BARBARA NUCKOLS
LAKEPORT, CA
NPI
1790145803
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 77880)
Enumeration Date
2016-03-02
Last Update Date
2016-03-02
Business Address
Mrs. BARBARA NUCKOLS MA
380 N MAIN ST SUITE H
LAKEPORT, CA 95453-4843
Phone number: 707-879-8904
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Mailing Address
Mrs. BARBARA NUCKOLS MA
10711 FAIRWAY DR
KELSEYVILLE, CA 95451-8733
Phone number: 650-644-6167
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