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1639844947
BRIAN KEITH STAFFORD
SAN FRANCISCO, CA
NPI
1639844947
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 11129)
Enumeration Date
2021-08-10
Last Update Date
2021-08-10
Business Address
Mr. BRIAN KEITH STAFFORD
433 TURK ST
SAN FRANCISCO, CA 94102-3329
Phone number: 415-724-8391
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Mailing Address
Mr. BRIAN KEITH STAFFORD
433 TURK ST
SAN FRANCISCO, CA 94102-3329
Phone number: 415-724-8391
Copy
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