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1790904795
MARGUERITE MARCIA ILLINGWORTH
SAN RAFAEL, CA
NPI
1790904795
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 35050)
Enumeration Date
2007-04-25
Last Update Date
2007-07-08
Business Address
-- MARGUERITE MARCIA ILLINGWORTH mft
1703 5TH AVE STE 205
SAN RAFAEL, CA 94901-1854
Phone number: 415-488-1189
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Mailing Address
-- MARGUERITE MARCIA ILLINGWORTH mft
PO BOX 506
SAN GERONIMO, CA 94963-0506
Phone number: 415-488-1189
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