Individual
DAKOTA WILFRED PAULSON ANDRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
720 WOOD ST, EUREKA, CA 95501-4413
(707) 268-2990
Mailing address
720 WOOD ST, EUREKA, CA 95501-4413
(707) 268-2990
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW116695
CA
Other
Enumeration date
07/18/2022
Last updated
09/03/2025
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