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1093872095
MICHAEL HODSON STREET
CLEARLAKE, CA
NPI
1093872095
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 18551)
Enumeration Date
2007-01-02
Last Update Date
2012-11-06
Business Address
-- MICHAEL HODSON STREET LCSW
7000B S CENTER DR
CLEARLAKE, CA 95422-8131
Phone number: 707-508-6412
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Mailing Address
-- MICHAEL HODSON STREET LCSW
6302 13TH AVE
LUCERNE, CA 95458
Phone number: 707-274-9101
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