LEEROY WAINWRIGHT

SAN PABLO, CA
NPI1154713766
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2015-02-19
Last Update Date2015-02-19
Business Address
LEEROY WAINWRIGHT
1515 MARKET AVE
SAN PABLO, CA 94806-4357
Phone number: 510-232-7571
Mailing Address
LEEROY WAINWRIGHT
1515 MARKET AVE
SAN PABLO, CA 94806-4357
Phone number: 510-232-7571
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