KEVIN DURAN FAUNTLEROY

OAKLAND, CA
NPI1114631611
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2023-01-09
Last Update Date2024-12-12
Business Address
KEVIN DURAN FAUNTLEROY MSW, ASW
280 17TH ST
OAKLAND, CA 94612-4124
Phone number: 510-238-5020
Mailing Address
KEVIN DURAN FAUNTLEROY MSW, ASW
280 17TH ST
OAKLAND, CA 94612-4124
Phone number: 510-238-5020