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1740936889
DE MARQUIS MC HENRY
SAN RAFAEL, CA
NPI
1740936889
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-02-28
Last Update Date
2022-03-02
Business Address
DE MARQUIS MC HENRY
10 N SAN PEDRO RD STE 1015
SAN RAFAEL, CA 94903-4155
Phone number: 415-686-3350
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Mailing Address
DE MARQUIS MC HENRY
1721 NOVATO BLVD APT 14
NOVATO, CA 94947-3068
Phone number: 415-497-5949
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