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Organization
SONOMA PSYCHO-ONCOLOGY
Active
Organization
SONOMA PSYCHO-ONCOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL STAPLES MFT (DIRECTOR)
(707) 888-7845
Entity
Organization
Contact information
Practice address
1480 LINCOLN AVE STE 7, SAN RAFAEL, CA 94901-2085
(707) 888-7845
Mailing address
18370 CLAYTON AVE, SONOMA, CA 95476-4214
(707) 888-7845
(707) 935-1629
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MFC39498
CA
Other
Enumeration date
03/04/2009
Last updated
03/04/2009
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