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1992850317
SEAN A RE
UKIAH, CA
NPI
1992850317
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC 48843)
Enumeration Date
2007-01-24
Last Update Date
2010-11-17
Business Address
MR. SEAN A RE MFT
776 S STATE ST SUITE #107
UKIAH, CA 95482-5847
Phone number: 707-463-4915
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Mailing Address
MR. SEAN A RE MFT
PO BOX 352
UKIAH, CA 95482-0352
Phone number: 707-391-7326
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