TARA ANN KHAWAJA

SAN RAFAEL, CA
NPI1821782012
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  15165)
Enumeration Date2023-06-08
Last Update Date2023-06-08
Business Address
TARA ANN KHAWAJA SUDRC
1477 LINCOLN AVE
SAN RAFAEL, CA 94901-2028
Phone number: 415-459-2395
Mailing Address
TARA ANN KHAWAJA SUDRC
1601 2ND ST STE 104
SAN RAFAEL, CA 94901-2701
Phone number: 415-459-2395
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