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Organization
THUNDER ROAD
Active
Organization
THUNDER ROAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVERY ANNE MCFARLAN (RECOVERY COUNSELOR)
(510) 653-5040
Entity
Organization
Contact information
Practice address
390 40TH ST, OAKLAND, CA 94609-2633
(510) 653-5040
Mailing address
390 40TH ST, OAKLAND, CA 94609-2633
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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