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1972775765
TONYA DIANE PETTY
OAKLAND, CA
NPI
1972775765
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: CA 140206821)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2008-04-01
Last Update Date
2024-08-21
Business Address
TONYA DIANE PETTY
1011 UNION ST
OAKLAND, CA 94607-2236
Phone number: 510-879-5003
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Mailing Address
TONYA DIANE PETTY
1011 UNION ST
OAKLAND, CA 94607-2236
Phone number: 510-879-8000
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