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1952319709
ELLEN B BREISACHER
SANTA ROSA, CA
NPI
1952319709
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC15794)
Enumeration Date
2006-08-04
Last Update Date
2007-07-08
Business Address
MS. ELLEN B BREISACHER MFT
659 CHERRY ST
SANTA ROSA, CA 95404
Phone number: 707-526-8300
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Mailing Address
MS. ELLEN B BREISACHER MFT
659 CHERRY ST
SANTA ROSA, CA 95404
Phone number: 707-526-8300
Copy
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