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Organization
THE COLLECTIVE, INC
Active
Organization
THE COLLECTIVE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARON L RAFFERTY PHD (PRESIDENT/CLINICAL PSYCHOLOGIST)
(415) 265-3365
Entity
Organization
Contact information
Practice address
1304 CASTRO ST STE C, SAN FRANCISCO, CA 94114-3682
(415) 265-3365
Mailing address
PO BOX 460462, SAN FRANCISCO, CA 94146-0462
(415) 265-3365
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY19611
CA
Other
Enumeration date
04/02/2014
Last updated
04/02/2014
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