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1821508417
PRUDENCE WESSON
SAN RAFAEL, CA
NPI
1821508417
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 16012)
Enumeration Date
2017-10-09
Last Update Date
2024-08-26
Business Address
PRUDENCE WESSON
1601 2ND ST STE 104
SAN RAFAEL, CA 94901-2701
Phone number: 415-456-6655
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Mailing Address
PRUDENCE WESSON
1601 2ND ST STE 104
SAN RAFAEL, CA 94901-2701
Phone number: 415-456-6655
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