URSELL LAVAUGHN BRANDON

SAN FRANCISCO, CA
NPI1194011247
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2011-06-27
Last Update Date2011-06-27
Business Address
-- URSELL LAVAUGHN BRANDON
1625 CARROLL AVE
SAN FRANCISCO, CA 94124-3219
Phone number: 415-822-8200
Mailing Address
-- URSELL LAVAUGHN BRANDON
1625 CARROLL AVE
SAN FRANCISCO, CA 94124-3219
Phone number: 415-822-8200
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