GLENN DALE PAULSON

SANTA ROSA, CA
NPI1750582615
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-05-29
Last Update Date2007-07-08
Business Address
-- GLENN DALE PAULSON RASi
440 ARROWOOD DR
SANTA ROSA, CA 95407-7503
Phone number: 707-284-2955
Mailing Address
-- GLENN DALE PAULSON RASi
440 ARROWOOD DR
SANTA ROSA, CA 95407-7503
Phone number: 707-284-2955
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