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1851956932
AMY THEODORE
SANTA ROSA, CA
NPI
1851956932
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 108073)
Enumeration Date
2019-05-05
Last Update Date
2022-10-20
Business Address
AMY THEODORE LMFT
1034 ASTON CIR
SANTA ROSA, CA 95404-6024
Phone number: 707-216-1097
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Mailing Address
AMY THEODORE LMFT
1034 ASTON CIR
SANTA ROSA, CA 95404-6024
Phone number: 707-815-3400
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