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1114558160
IAN WINSTON CLARK-JOHNSON
SAN FRANCISCO, CA
NPI
1114558160
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 8548)
Enumeration Date
2020-01-29
Last Update Date
2020-01-29
Business Address
IAN WINSTON CLARK-JOHNSON
1735 MISSION ST
SAN FRANCISCO, CA 94103-2417
Phone number: 415-912-1827
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Mailing Address
IAN WINSTON CLARK-JOHNSON
1735 MISSION ST
SAN FRANCISCO, CA 94103-2417
Phone number: 415-912-1827
Copy
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