TERRANCE DALTON TEDFORD

OAKLAND, CA
NPI1326750233
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2022-12-22
Last Update Date2022-12-22
Business Address
TERRANCE DALTON TEDFORD
2545 SAN PABLO AVE
OAKLAND, CA 94612-1121
Phone number: 510-446-7160
Mailing Address
TERRANCE DALTON TEDFORD
2545 SAN PABLO AVE
OAKLAND, CA 94612-1121
Phone number: 510-446-7160
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