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1952906299
LAUREN ELIZABETH AXBERG
SANTA ROSA, CA
NPI
1952906299
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-12-03
Last Update Date
2020-12-03
Business Address
LAUREN ELIZABETH AXBERG
201 S E ST
SANTA ROSA, CA 95404-4709
Phone number: 707-573-6960
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Mailing Address
LAUREN ELIZABETH AXBERG
8025 BEVERLY DR APT 105
ROHNERT PARK, CA 94928-4003
Phone number: 310-697-6621
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