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1538917109
KELLY FUHLRODT
SAN FRANCISCO, CA
NPI
1538917109
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA SUDrc17254)
Enumeration Date
2024-05-09
Last Update Date
2024-05-09
Business Address
KELLY FUHLRODT RADT
815 BUENA VISTA AVE W
SAN FRANCISCO, CA 94117-4108
Phone number: 415-519-5185
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Mailing Address
KELLY FUHLRODT RADT
1563 MISSION ST
SAN FRANCISCO, CA 94103-2543
Phone number: 415-724-8836
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