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1790172013
CHARLES ANDERSON
FAIRFIELD, CA
NPI
1790172013
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 110738)
Enumeration Date
2015-04-24
Last Update Date
2020-07-15
Business Address
CHARLES ANDERSON
825 WEBSTER ST STE D
FAIRFIELD, CA 94533-5522
Phone number: 707-386-8066
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Mailing Address
CHARLES ANDERSON
825 WEBSTER ST STE D
FAIRFIELD, CA 94533-5522
Phone number: 707-386-8066
Copy
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