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1861540957
MAXINE L. HALL
SANTA ROSA, CA
NPI
1861540957
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC40190)
Enumeration Date
2007-01-08
Last Update Date
2007-07-08
Business Address
-- MAXINE L. HALL MFT
862 3RD ST
SANTA ROSA, CA 95404-4529
Phone number: 707-524-4114
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Mailing Address
-- MAXINE L. HALL MFT
862 THIRD STREET
SANTA ROSA, CA 95404
Phone number:
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