Individual
JONATHAN R BOTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
3270 KERNER BLVD, SUITE B, SAN RAFAEL, CA 94901-4840
(415) 473-4128
(415) 473-4114
Mailing address
3270 KERNER BLVD., SUITE B, SAN RAFAEL, CA 94901
(415) 473-4128
(415) 473-4114
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/08/2008
Last updated
05/29/2008
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