TERRY WAYNE LEATHERWOOD

SAN FRANCISCO, CA
NPI1194573964
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-05-08
Last Update Date2024-06-04
Business Address
TERRY WAYNE LEATHERWOOD
154 COLERIDGE ST
SAN FRANCISCO, CA 94110-5156
Phone number: 415-542-8621
Mailing Address
TERRY WAYNE LEATHERWOOD
154 COLERIDGE ST
SAN FRANCISCO, CA 94110-5156
Phone number: 415-542-8621
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