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1114065836
RANDY SHIRLEY
SAN FRANCISCO, CA
NPI
1114065836
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 168)
Enumeration Date
2007-02-02
Last Update Date
2016-03-07
Business Address
-- RANDY SHIRLEY CADC II
56 JULIAN AVE
SAN FRANCISCO, CA 94103-3507
Phone number: 415-865-0964
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Mailing Address
-- RANDY SHIRLEY CADC II
56 JULIAN AVE
SAN FRANCISCO, CA 94103-3507
Phone number:
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