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1235588849
KIRK ELROD
SANTA ROSA, CA
NPI
1235588849
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 6973-R)
Enumeration Date
2016-06-06
Last Update Date
2016-06-06
Business Address
-- KIRK ELROD
1901 CLEVELAND AVE STE B
SANTA ROSA, CA 95401-4298
Phone number: 707-576-0818
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Mailing Address
-- KIRK ELROD
1901 CLEVELAND AVE STE B
SANTA ROSA, CA 95401-4298
Phone number: 707-576-0818
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