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1962797456
AMY LOUISE FAULSTICH
SAN RAFAEL, CA
NPI
1962797456
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-06-13
Last Update Date
2011-06-13
Business Address
-- AMY LOUISE FAULSTICH
900 5TH AVE SUITE 150
SAN RAFAEL, CA 94901-2959
Phone number: 415-457-6964
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Mailing Address
-- AMY LOUISE FAULSTICH
15 SAN RAFAEL AVE APT. 4
SAN ANSELMO, CA 94960-2118
Phone number: 415-827-4843
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