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1831381136
MAMATHA MOORTY
SAN LEANDRO, CA
NPI
1831381136
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 46007)
Enumeration Date
2007-08-10
Last Update Date
2007-08-10
Business Address
-- MAMATHA MOORTY
2208 SAN LEANDRO BLVD
SAN LEANDRO, CA 94577-5957
Phone number: 510-483-6715
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Mailing Address
-- MAMATHA MOORTY
2208 SAN LEANDRO BLVD
SAN LEANDRO, CA 94577-5957
Phone number: 510-483-6715
Copy
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