CLINTON TAXDAHL

SACRAMENTO, CA
NPI1114200136
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
Enumeration Date2011-09-26
Last Update Date2011-09-26
Business Address
MR. CLINTON TAXDAHL
719 J ST
SACRAMENTO, CA 95814-2501
Phone number: 916-444-3118
Mailing Address
MR. CLINTON TAXDAHL
2277 FAIR OAKS BLVD STE. 440
SACRAMENTO, CA 95825-5533
Phone number: 916-441-0123
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