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1922395219
DAVID ROSS CLEMENS
SAN MATEO, CA
NPI
1922395219
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 061292)
Enumeration Date
2011-07-07
Last Update Date
2011-07-07
Business Address
-- DAVID ROSS CLEMENS CATC
720 SOUTH B ST.
SAN MATEO, CA 94401
Phone number: 650-579-7157
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Mailing Address
-- DAVID ROSS CLEMENS CATC
720 SOUTH B ST.
SAN MATEO, CA 94401
Phone number: 650-579-7157
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