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1164581989
TODD GERARD FETHERSTON
SACRAMENTO, CA
NPI
1164581989
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 15495)
Enumeration Date
2006-12-07
Last Update Date
2007-07-08
Business Address
Mr. TODD GERARD FETHERSTON LCSW
6600 BRUCEVILLE RD
SACRAMENTO, CA 95823-4671
Phone number: 916-688-6951
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Mailing Address
Mr. TODD GERARD FETHERSTON LCSW
6600 BRUCEVILLE RD
SACRAMENTO, CA 95823-4671
Phone number: 916-688-6951
Copy
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