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1851810824
LAURA ENZENDORFER
SAN RAFAEL, CA
NPI
1851810824
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 26055)
Enumeration Date
2017-09-11
Last Update Date
2019-01-14
Business Address
LAURA ENZENDORFER CCC-SLP
1299 4TH ST STE 201
SAN RAFAEL, CA 94901-3028
Phone number: 415-295-2819
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Mailing Address
LAURA ENZENDORFER CCC-SLP
28 MERCED AVE
SAN ANSELMO, CA 94960-1811
Phone number:
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