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1952678336
GENEVA MARY LICHT
SAN LUIS OBISPO, CA
NPI
1952678336
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-11-29
Last Update Date
2011-11-29
Business Address
-- GENEVA MARY LICHT
227 SOUTH ST. STE Y
SAN LUIS OBISPO, CA 93401
Phone number: 415-497-8212
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Mailing Address
-- GENEVA MARY LICHT
P.O.B. 15408
SAN LUIS OBISPO, CA 93406
Phone number: 415-497-8212
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