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1114564960
ANDREW WARREN BUNNELL
SANTA ROSA, CA
NPI
1114564960
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 18368)
Enumeration Date
2019-11-27
Last Update Date
2019-12-03
Business Address
ANDREW WARREN BUNNELL
2245 CHALLENGER WAY
SANTA ROSA, CA 95407-5418
Phone number: 707-565-4943
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Mailing Address
ANDREW WARREN BUNNELL
2245 CHALLENGER WAY
SANTA ROSA, CA 95407-5418
Phone number: 707-565-4943
Copy
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