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1740474220
WAYNE LEE GRIGSBY
BERKELEY, CA
NPI
1740474220
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA I2011506)
Enumeration Date
2007-08-28
Last Update Date
2016-08-25
Business Address
Mr. WAYNE LEE GRIGSBY CADAC
1931 CENTER ST
BERKELEY, CA 94704-1105
Phone number: 510-666-9552
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Mailing Address
Mr. WAYNE LEE GRIGSBY CADAC
1931 CENTER ST
BERKELEY, CA 94704-1105
Phone number: 510-666-9552
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