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1730607987
DEJUAN MARCELOS REDWOOD
SAN FRANCISCO, CA
NPI
1730607987
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 1710670)
Enumeration Date
2017-09-07
Last Update Date
2017-09-07
Business Address
DEJUAN MARCELOS REDWOOD CATC
42 MCLEA CT
SAN FRANCISCO, CA 94103-4416
Phone number: 415-503-3071
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Mailing Address
DEJUAN MARCELOS REDWOOD CATC
10 MODOC AVE
SAN FRANCISCO, CA 94112-4121
Phone number: 415-596-4980
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