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1801060504
REBECCA MARY LEACOCK
SAN RAFAEL, CA
NPI
1801060504
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 37165)
Enumeration Date
2008-04-15
Last Update Date
2008-04-15
Business Address
-- REBECCA MARY LEACOCK MFT
4 JEANNETTE PRANDI WAY
SAN RAFAEL, CA 94903-1133
Phone number: 415-507-2926
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Mailing Address
-- REBECCA MARY LEACOCK MFT
4 JEANNETTE PRANDI WAY
SAN RAFAEL, CA 94903
Phone number: 415-507-2926
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