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1023613775
JAMAAL R TIBBS
SOUTH SAN FRANCISCO, CA
NPI
1023613775
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA ASW98007)
Enumeration Date
2020-12-01
Last Update Date
2020-12-01
Business Address
JAMAAL R TIBBS
1486 HUNTINGTON AVE STE 100
SOUTH SAN FRANCISCO, CA 94080-5971
Phone number: 650-877-8642
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Mailing Address
JAMAAL R TIBBS
1426 FILLMORE ST STE 303
SAN FRANCISCO, CA 94115-4164
Phone number: 415-637-4376
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