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Organization
MOSAIC THERAPY AND WELLNESS
Active
Organization
MOSAIC THERAPY AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MANDI MICHELE OLIPHANT LMFT & ATR (PARTNER)
(916) 934-2385
Entity
Organization
Contact information
Practice address
507 NATOMA STREET, FOLSOM, CA 95630
(916) 934-2385
Mailing address
507 NATOMA STREET, FOLSOM, CA 95630
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
LMFT49748
CA
106H00000X
Marriage & Family Therapist
Primary
LMFT85949
CA
Other
Enumeration date
09/22/2015
Last updated
09/22/2015
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