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1790989119
ALICE D PETTY-HANNUM
SANTA ROSA, CA
NPI
1790989119
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Former Name
ALICE D PETTY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 43967)
Enumeration Date
2007-06-11
Last Update Date
2011-08-25
Business Address
-- ALICE D PETTY-HANNUM MFT
406 CHINN ST
SANTA ROSA, CA 95404-4339
Phone number: 707-495-5350
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Mailing Address
-- ALICE D PETTY-HANNUM MFT
406 CHINN ST
SANTA ROSA, CA 95404-4339
Phone number: 707-495-5350
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