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Individual

MS. AMERICA WORDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MFT

Contact information

Practice address
111 WASHINGTON ST, #9, PETALUMA, CA 94952-2315
(707) 280-1466
Mailing address
111 WASHINGTON ST, #9, PETALUMA, CA 94952-2315

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LMFT84774
CA

Other

Enumeration date
09/22/2015
Last updated
09/22/2015
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