DWAYNE MICHAEL HEARD

SAN FRANCISCO, CA
NPI1831375823
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  C051920418)
Enumeration Date2008-01-21
Last Update Date2018-06-14
Business Address
DWAYNE MICHAEL HEARD C051920418
101 GOUGH ST
SAN FRANCISCO, CA 94102
Phone number: 415-553-4490
Mailing Address
DWAYNE MICHAEL HEARD C051920418
101 GOUGH ST
SAN FRANCISCO, CA 94102-5903
Phone number: 415-553-4490
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