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Organization
WILLOW FAMILY THERAPY INC
Active
Organization
WILLOW FAMILY THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE P ELLIOTT MFT (DIRECTOR)
(650) 355-0841
Entity
Organization
Contact information
Practice address
80 EUREKA SQ, SUITE 216, PACIFICA, CA 94044-2654
(650) 355-0841
Mailing address
80 EUREKA SQ, SUITE 216, PACIFICA, CA 94044-2654
(650) 355-0841
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFC40528
CA
Other
Enumeration date
03/27/2009
Last updated
03/27/2009
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