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1871318360
HEIDI FRIEDERIKE LONGO
SAN RAFAEL, CA
NPI
1871318360
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 44500)
Enumeration Date
2024-11-19
Last Update Date
2024-11-19
Business Address
HEIDI FRIEDERIKE LONGO MFT
705 VENDOLA DR
SAN RAFAEL, CA 94903-2938
Phone number: 415-606-9543
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Mailing Address
HEIDI FRIEDERIKE LONGO MFT
711 D ST STE 201
SAN RAFAEL, CA 94901-3704
Phone number:
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