MICHAEL ANTOINNE WORTHAM

SAN LEANDRO, CA
NPI1376131136
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-01-07
Last Update Date2021-01-07
Business Address
MICHAEL ANTOINNE WORTHAM
2035 FAIRMONT DR
SAN LEANDRO, CA 94578-1088
Phone number: 510-346-7836
Mailing Address
MICHAEL ANTOINNE WORTHAM
2035 FAIRMONT DR
SAN LEANDRO, CA 94578-1088
Phone number: 510-346-7836
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