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1861006181
ROY F SMALLY
FAIRFIELD, CA
NPI
1861006181
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 99046)
Enumeration Date
2020-09-03
Last Update Date
2020-09-03
Business Address
ROY F SMALLY AMFT
1620 PENNSYLVANIA AVE STE C
FAIRFIELD, CA 94533-3509
Phone number: 707-439-4039
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Mailing Address
ROY F SMALLY AMFT
2165 LARKSPUR LN
REDDING, CA 96002-0600
Phone number: 530-226-7419
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