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1114631611
KEVIN DURAN FAUNTLEROY
OAKLAND, CA
NPI
1114631611
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2023-01-09
Last Update Date
2024-12-12
Business Address
KEVIN DURAN FAUNTLEROY MSW, ASW
280 17TH ST
OAKLAND, CA 94612-4124
Phone number: 510-238-5020
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Mailing Address
KEVIN DURAN FAUNTLEROY MSW, ASW
280 17TH ST
OAKLAND, CA 94612-4124
Phone number: 510-238-5020
Copy
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