Individual
SEAN MICHAEL MCGRAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 SAINT VINCENTS DR, SAN RAFAEL, CA 94903-1504
(415) 507-4232
Mailing address
1 SAINT VINCENTS DR, SAN RAFAEL, CA 94903-1504
(415) 507-4232
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/12/2011
Last updated
11/12/2011
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