KYB FUGFUGOSH

BERKELEY, CA
NPI1881830099
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2008-12-18
Last Update Date2008-12-18
Business Address
Mr. KYB FUGFUGOSH
1931 CENTER ST
BERKELEY, CA 94704-1105
Phone number: 510-666-9552
Mailing Address
Mr. KYB FUGFUGOSH
1931 CENTER ST
BERKELEY, CA 94704-1105
Phone number: 510-666-9552
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