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Individual

AGNES EDITH MATTER-DANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1245 E SANTA CLARA ST, ALUM ROCK COUNSELING CENTER, SAN JOSE, CA 95116-2337
(408) 294-0500
Mailing address
1310 SADDLE RACK ST, # 402, SAN JOSE, CA 95126-3498
(650) 799-2585

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
08/11/2011
Last updated
08/11/2011
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