Individual
CHARLOTTE STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
830 B ST, SAN RAFAEL, CA 94901-3003
(415) 459-5843
Mailing address
7462 CALDER AVE, SEBASTOPOL, CA 95472-4356
(510) 207-0349
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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