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1962549725
TINA LEE MCDONOUGH
SANTA ROSA, CA
NPI
1962549725
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA IMF51639)
Enumeration Date
2007-01-31
Last Update Date
2013-06-22
Business Address
-- TINA LEE MCDONOUGH MFT (MFC 50512)
3440 AIRWAY DR STE E
SANTA ROSA, CA 95403-2065
Phone number: 707-544-3299
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Mailing Address
-- TINA LEE MCDONOUGH MFT (MFC 50512)
3440 AIRWAY DR STE E
SANTA ROSA, CA 95403-2065
Phone number: 707-544-3299
Copy
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