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1992172498
DAVID WENTWORTH
PETALUMA, CA
NPI
1992172498
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-09-01
Last Update Date
2015-09-01
Business Address
-- DAVID WENTWORTH
1021 COUNTRY CLUB DR
PETALUMA, CA 94952-5238
Phone number: 707-338-3656
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Mailing Address
-- DAVID WENTWORTH
1021 COUNTRY CLUB DR
PETALUMA, CA 94952-5238
Phone number: 707-338-3656
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