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Individual

ELISE NICOLE RAHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2222 BANCROFT WAY, BERKELEY, CA 94720-4300
(510) 642-9494
(510) 642-2368
Mailing address
2222 BANCROFT WAY, BERKELEY, CA 94720-4300
(510) 642-9494
(510) 642-2368

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
09/08/2011
Last updated
09/08/2011
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