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1174655302
MOINETTE GOODROAD
SAN FRANCISCO, CA
NPI
1174655302
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-03-12
Last Update Date
2012-05-21
Business Address
-- MOINETTE GOODROAD
1049 HOWARD ST
SAN FRANCISCO, CA 94103-2822
Phone number: 415-487-2140
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Mailing Address
-- MOINETTE GOODROAD
1049 HOWARD ST
SAN FRANCISCO, CA 94103-2822
Phone number: 415-487-2140
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