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Organization
MAGGIE SELF, LMFT
Active
Organization
MAGGIE SELF, LMFT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAGGIE ROSE SELF MS, LMFT (LMFT)
(707) 583-9518
Entity
Organization
Contact information
Practice address
7765 HEALDSBURG AVE, SEBASTOPOL, CA 95472-3309
(707) 583-9518
(877) 795-8030
Mailing address
PO BOX 173, SEBASTOPOL, CA 95473-0173
(707) 583-9518
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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