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1740412345
ELBERT PARK
SAN FRANCISCO, CA
NPI
1740412345
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2009-08-14
Last Update Date
2009-08-14
Business Address
-- ELBERT PARK
841 FULTON ST
SAN FRANCISCO, CA 94117-1709
Phone number: 415-939-3341
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Mailing Address
-- ELBERT PARK
841 FULTON ST
SAN FRANCISCO, CA 94117-1709
Phone number: 415-939-3341
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