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1134546047
LYDELL WILLIS
OAKLAND, CA
NPI
1134546047
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 74808)
Enumeration Date
2014-03-28
Last Update Date
2014-03-28
Business Address
-- LYDELL WILLIS
401 ROLAND WAY STE 100
OAKLAND, CA 94621-2034
Phone number: 510-746-2800
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Mailing Address
-- LYDELL WILLIS
401 ROLAND WAY STE 100
OAKLAND, CA 94621-2034
Phone number:
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