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1881940633
KATIE ELLEN SMITH
SAN RAFAEL, CA
NPI
1881940633
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA LMFT102790)
Enumeration Date
2012-07-31
Last Update Date
2022-07-19
Business Address
KATIE ELLEN SMITH
20 N SAN PEDRO RD
SAN RAFAEL, CA 94903-4188
Phone number: 415-473-3438
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Mailing Address
KATIE ELLEN SMITH
20 N SAN PEDRO RD
SAN RAFAEL, CA 94903-4188
Phone number: 415-473-3438
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