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1861693574
DIANE ELIZABETH SHROCK
PETALUMA, CA
NPI
1861693574
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC33832)
Enumeration Date
2007-05-30
Last Update Date
2007-07-08
Business Address
Ms. DIANE ELIZABETH SHROCK LMFT
320 WESTERN AVE
PETALUMA, CA 94952-2919
Phone number: 707-566-7712
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Mailing Address
Ms. DIANE ELIZABETH SHROCK LMFT
2817 CLAREMONT DR
SANTA ROSA, CA 95405-6868
Phone number: 707-566-7123
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