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1013277292
CAROLINE VIDAL
UKIAH, CA
NPI
1013277292
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AZ LMSW-13018)
Enumeration Date
2012-05-22
Last Update Date
2014-05-14
Business Address
-- CAROLINE VIDAL MSW
290 E. GOBBI ST.
UKIAH, CA 95482
Phone number: 707-463-3300
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Mailing Address
-- CAROLINE VIDAL MSW
PO BOX 32
CLEARLAKE OAKS, CA 95432
Phone number:
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