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1831346816
SANDRA PROVENCIO
SANTA MARIA, CA
NPI
1831346816
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Former Name
SANDRA SANCHEZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 87223)
Enumeration Date
2008-08-21
Last Update Date
2023-02-28
Business Address
Mrs. SANDRA PROVENCIO
800 S BROADWAY STE 203
SANTA MARIA, CA 93454-6623
Phone number: 805-720-2809
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Mailing Address
Mrs. SANDRA PROVENCIO
800 S BROADWAY STE 203
SANTA MARIA, CA 93454-6623
Phone number: 805-720-2809
Copy
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