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1154483006
PETER COBBOLD SMALL
VALLEJO, CA
NPI
1154483006
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 21547)
Enumeration Date
2006-12-15
Last Update Date
2007-07-08
Business Address
Mr. PETER COBBOLD SMALL LCSW
146 RAINIER AVE RM 5
VALLEJO, CA 94589-1846
Phone number: 707-553-5493
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Mailing Address
Mr. PETER COBBOLD SMALL LCSW
555 PIERCE ST APT 1003
ALBANY, CA 94706-1003
Phone number: 510-528-1590
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