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1053660407
JOE A LODGE
CHICO, CA
NPI
1053660407
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA ASW124911)
Enumeration Date
2012-08-30
Last Update Date
2024-10-01
Business Address
JOE A LODGE BSW
40 LANDING CIR SUITE 1
CHICO, CA 95973-7901
Phone number: 530-893-3698
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Mailing Address
JOE A LODGE BSW
242 N VILLA AVE
WILLOWS, CA 95988-2641
Phone number: 530-934-6582
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