GARY DOUGLAS LEATHERMAN

SACRAMENTO, CA
NPI1336690742
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-10-20
Last Update Date2016-10-20
Business Address
-- GARY DOUGLAS LEATHERMAN
9738 LINCOLN VILLAGE DR
SACRAMENTO, CA 95827-3378
Phone number: 916-714-5400
Mailing Address
-- GARY DOUGLAS LEATHERMAN
9738 LINCOLN VILLAGE DR
SACRAMENTO, CA 95827-3378
Phone number: 916-714-5400
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