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1902921745
VANESA D GOERTZEN
FORT BRAGG, CA
NPI
1902921745
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TB0200X Psychologist, Cognitive & Behavioral
(Licence: CA PSY17451)
Enumeration Date
2007-03-20
Last Update Date
2007-07-08
Business Address
-- VANESA D GOERTZEN PHD
205 SOUTH ST
FORT BRAGG, CA 95437-5540
Phone number: 707-964-1251
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Mailing Address
-- VANESA D GOERTZEN PHD
205 SOUTH ST
FORT BRAGG, CA 95437-5540
Phone number: 707-964-1251
Copy
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