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1992842926
CONNIS KAY AUST
SANTA ROSA, CA
NPI
1992842926
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Former Name
CONNIS KAY HARRIS HENDRICKS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-01-31
Last Update Date
2007-07-08
Business Address
-- CONNIS KAY AUST
730 BENNETT VALLEY RD
SANTA ROSA, CA 95404-5514
Phone number: 707-525-0143
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Mailing Address
-- CONNIS KAY AUST
730 BENNETT VALLEY RD
SANTA ROSA, CA 95404-5514
Phone number: 707-525-0143
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