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1043334980
CHARLES WILLIAM KIDWELL
SACRAMENTO, CA
NPI
1043334980
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 09093)
Enumeration Date
2007-03-17
Last Update Date
2007-07-08
Business Address
Mr. CHARLES WILLIAM KIDWELL LCSW
2008 MORSE AVE
SACRAMENTO, CA 95825-2135
Phone number: 916-973-5300
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Mailing Address
Mr. CHARLES WILLIAM KIDWELL LCSW
14950 S PONDEROSA WAY
GRASS VALLEY, CA 95949-7627
Phone number: 530-272-1114
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