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1194573964
TERRY WAYNE LEATHERWOOD
SAN FRANCISCO, CA
NPI
1194573964
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-05-08
Last Update Date
2024-06-04
Business Address
TERRY WAYNE LEATHERWOOD
154 COLERIDGE ST
SAN FRANCISCO, CA 94110-5156
Phone number: 415-542-8621
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Mailing Address
TERRY WAYNE LEATHERWOOD
154 COLERIDGE ST
SAN FRANCISCO, CA 94110-5156
Phone number: 415-542-8621
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