DAVID WENTWORTH

PETALUMA, CA
NPI1992172498
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-09-01
Last Update Date2015-09-01
Business Address
-- DAVID WENTWORTH
1021 COUNTRY CLUB DR
PETALUMA, CA 94952-5238
Phone number: 707-338-3656
Mailing Address
-- DAVID WENTWORTH
1021 COUNTRY CLUB DR
PETALUMA, CA 94952-5238
Phone number: 707-338-3656
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