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1861078354
RUSSEL SAGE
SAN FRANCISCO, CA
NPI
1861078354
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 101YA0400X)
Enumeration Date
2021-03-23
Last Update Date
2021-03-23
Business Address
RUSSEL SAGE
890 HAYES ST
SAN FRANCISCO, CA 94117-2615
Phone number: 415-701-5148
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Mailing Address
RUSSEL SAGE
4703 ESPLANADE CIR
FOLSOM, CA 95630-7356
Phone number: 916-597-6800
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