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Individual

AL CHARLESTON TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1089 LEA DR, SAN RAFAEL, CA 94903-3746
(510) 575-1179
Mailing address
1380 HOWARD ST, SAN FRANCISCO, CA 94103-2638
(510) 575-1179

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
98721
CA
104100000X
Social Worker
Primary
98721
CA
1041C0700X
Clinical Social Worker
98721
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/03/2008
Last updated
09/15/2023
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