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Organization
MACKENZIE SODESTROM MARRIAGE & FAMILY THERAPY, INC.
Active
Organization
MACKENZIE SODESTROM MARRIAGE & FAMILY THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MACKENZIE SODESTROM LMFT (OWNER)
(925) 640-0795
Entity
Organization
Contact information
Practice address
370 GRAND AVE STE 4, OAKLAND, CA 94610-4874
(510) 210-1191
Mailing address
370 GRAND AVE STE 4, OAKLAND, CA 94610-4874
(510) 210-1191
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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