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1861721888
ROBERTA LOU GANNON
OAKLAND, CA
NPI
1861721888
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC 27178)
Enumeration Date
2009-12-22
Last Update Date
2009-12-22
Business Address
Mrs. ROBERTA LOU GANNON MFT
755 60TH ST
OAKLAND, CA 94609-1421
Phone number: 510-601-6805
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Mailing Address
Mrs. ROBERTA LOU GANNON MFT
755 60TH ST
OAKLAND, CA 94609-1421
Phone number: 510-601-6805
Copy
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