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1962568089
MARY ELLEN SANICOLA
SAN RAFAEL, CA
NPI
1962568089
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-01-01
Last Update Date
2007-07-08
Business Address
Ms. MARY ELLEN SANICOLA
914 MISSION AVE
SAN RAFAEL, CA 94901-6106
Phone number: 415-457-6964
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Mailing Address
Ms. MARY ELLEN SANICOLA
PO BOX 4296
SANTA ROSA, CA 95402-4296
Phone number: 707-571-5586
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