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Individual

MS. ANNETTE JOYCE MOYNIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1152 SOUTH MAIN STREET, LAKEPORT, CA 95453
(707) 279-4607
Mailing address
PO BOX 642, CLEARLAKE OAKS, CA 95423-0642

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT 27389
CA

Other

Enumeration date
03/27/2007
Last updated
07/08/2007
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