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Individual

DEWAYNE EDWARD SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1500 FRANKLIN ST, SAN FRANCISCO, CA 94109-4523
(415) 474-7310
(415) 474-7300
Mailing address
1500 FRANKLIN ST, SAN FRANCISCO, CA 94109-4523
(415) 474-7310

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
172V00000X
Community Health Worker
Primary
CA

Other

Enumeration date
04/26/2012
Last updated
02/17/2022
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