{
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"EIN": null,
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"Credential": "LMFT",
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"OtherLastName": "RAGSDALE",
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"FirstLineMailingAddress": "2611 FOOTS CREEK L FORK RD",
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"MailingAddressCityName": "GOLD HILL",
"MailingAddressStateName": "OR",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "109 W MAIN STREET SUITE 2",
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"PracticeLocationAddressCityName": "ROGUE RIVER",
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"PracticeLocationAddressTelephoneNumber": "925-980-4269",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/02/2015",
"LastUpdateDate": "07/21/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
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"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
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"LicenseNumber": "84369",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "N"
},
{
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}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}