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1700992062
DOUGLAS DUBOIS BURGESS
SAN LUIS OBISPO, CA
NPI
1700992062
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 13534)
Enumeration Date
2006-08-21
Last Update Date
2015-04-21
Business Address
-- DOUGLAS DUBOIS BURGESS L.C.S.W.
1551 BISHOP ST SUITE A-160
SAN LUIS OBISPO, CA 93401-4635
Phone number: 805-269-1500
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Mailing Address
-- DOUGLAS DUBOIS BURGESS L.C.S.W.
2050 S BLOSSER RD
SANTA MARIA, CA 93458-7310
Phone number: 805-361-8028
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