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1831309483
JOHNELL DEVAUGHNE WORTHY
SAN FRANCISCO, CA
NPI
1831309483
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-23
Last Update Date
2007-07-08
Business Address
Mr. JOHNELL DEVAUGHNE WORTHY B.A
2544 SAN JOSE AVE
SAN FRANCISCO, CA 94112-3120
Phone number: 415-756-7768
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Mailing Address
Mr. JOHNELL DEVAUGHNE WORTHY B.A
2544 SAN JOSE AVE
SAN FRANCISCO, CA 94112-3120
Phone number: 415-756-7768
Copy
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