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1790998201
SUSAN E VEGA PALLESEN
UKIAH, CA
NPI
1790998201
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFT34593)
Enumeration Date
2007-05-08
Last Update Date
2007-07-08
Business Address
SUSAN E VEGA PALLESEN MFT
216 W PERKINS ST #205
UKIAH, CA 95482
Phone number: 707-468-4965
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Mailing Address
SUSAN E VEGA PALLESEN MFT
216 W PERKINS ST #205
UKIAH, CA 95482
Phone number: 707-468-4965
Copy
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