Shirley Wantland
NPI #1174263784 in Sausalito, California
Provider Information
- NPI Number
- 1174263784
- Entity Type
- Individual
- Name
- Shirley Wantland
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor
- Enumeration Date
- Mar 31, 2022
- Last Updated
- Mar 31, 2022
Practice Location
- Address
- 3020 BRIDGEWAY # 165
- City
- Sausalito
- State
- California
- ZIP Code
- 94965-1439
- Phone
- (415) 306-7092
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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