DAVID LEE BRODER

SAN FRANCISCO, CA
NPI1861783375
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  041009 CAADE)
Enumeration Date2011-05-02
Last Update Date2011-05-02
Business Address
-- DAVID LEE BRODER CAADE
1001 POTRERO AVE # WARD93
SAN FRANCISCO, CA 94110-3518
Phone number: 415-206-8412
Mailing Address
-- DAVID LEE BRODER CAADE
1001 POTRERO AVE # WARD93
SAN FRANCISCO, CA 94110-3518
Phone number: 415-206-8412
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