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Organization
MATERIAL SOURCE, INC.
Active
Organization
MATERIAL SOURCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL TITTA MFT (PRESIDENT)
(916) 207-4762
Entity
Organization
Contact information
Practice address
2380 E BIDWELL ST, FOLSOM, CA 95630-3455
(916) 207-4762
(916) 608-9284
Mailing address
2380 E BIDWELL ST, FOLSOM, CA 95630-3455
(916) 207-4762
(916) 608-9284
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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