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1962031401
ELIZABETH MCDONOUGH
SAN RAFAEL, CA
NPI
1962031401
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 42310)
Enumeration Date
2020-04-06
Last Update Date
2020-04-06
Business Address
ELIZABETH MCDONOUGH MFT
1811 GRAND AVE
SAN RAFAEL, CA 94901-1969
Phone number: 510-292-7370
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Mailing Address
ELIZABETH MCDONOUGH MFT
454 LAS GALLINAS AVE # 161
SAN RAFAEL, CA 94903-3618
Phone number: 510-292-7370
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