PAUL DWAYNE JOHNSON

SAN RAFAEL, CA
NPI1174669238
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-01-29
Last Update Date2007-07-08
Business Address
-- PAUL DWAYNE JOHNSON
914 MISSION AVE
SAN RAFAEL, CA 94901-6106
Phone number: 415-457-6964
Mailing Address
-- PAUL DWAYNE JOHNSON
248 LAUREL PL
SAN RAFAEL, CA 94901-2011
Phone number:
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