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General NPI Number Information
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NPI Number | 1134850613
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Entity Type | Organization
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Legal Business Name | GRATIFY CHILD AND FAMILY THERAPY
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Dates
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Enumeration Date | 06/23/2022
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Last Update Date | 06/23/2022
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Provider Practice Location Address
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Address Line | 1460 MARIA LN STE 300
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City | WALNUT CREEK
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State | CA
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Zip | 94596-5314
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Country | US
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Telephone | 925-448-5960
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Fax |
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Provider Business Mailing Address
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Address Line | 1460 MARIA LN STE 300
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City | WALNUT CREEK
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State | CA
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Zip | 94596-5314
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Country | US
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Telephone | 925-448-5960
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MALLORIE F MCGREGOR-KASS
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Credential | LMFT
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Telephone | 925-448-5960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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