Individual
LAURA KANTOROWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
171 CARLOS DR, SAN RAFAEL, CA 94903-2005
(415) 755-2328
Mailing address
171 CARLOS DR, SAN RAFAEL, CA 94903-2005
(415) 755-2328
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PSY7739
CA
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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