DUSTIN JOHN WEDEKIND

SOUTH LAKE TAHOE, CA
NPI1932719028
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-08-04
Last Update Date2020-08-04
Business Address
DUSTIN JOHN WEDEKIND
1021 FREMONT AVE
SOUTH LAKE TAHOE, CA 96150-8136
Phone number: 530-541-2445
Mailing Address
DUSTIN JOHN WEDEKIND
1021 FREMONT AVE
SOUTH LAKE TAHOE, CA 96150-8136
Phone number: 530-541-2445
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