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1912508045
ISADORA TEITELBAUM FISHER
SAN RAFAEL, CA
NPI
1912508045
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2020-11-04
Last Update Date
2020-11-04
Business Address
ISADORA TEITELBAUM FISHER
1477 LINCOLN AVE
SAN RAFAEL, CA 94901-2028
Phone number: 415-459-2395
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Mailing Address
ISADORA TEITELBAUM FISHER
135 PAUL DR
SAN RAFAEL, CA 94903-2023
Phone number: 415-459-2395
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