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1952322489
MICHAEL RAY MONGOLD
REDDING, CA
NPI
1952322489
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY 9858)
Enumeration Date
2006-07-21
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL RAY MONGOLD Ph.D.
1300 WEST ST SUITE D
REDDING, CA 96001-1663
Phone number: 530-245-9928
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Mailing Address
Dr. MICHAEL RAY MONGOLD Ph.D.
2615 TEMPLETON DR
REDDING, CA 96002-3781
Phone number: 530-245-9928
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