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1164665063
RODNEY ALLEN KIDWELL
SACRAMENTO, CA
NPI
1164665063
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-04-08
Last Update Date
2009-04-08
Business Address
-- RODNEY ALLEN KIDWELL Registered student
4441 AUBURN BLVD SUITE C
SACRAMENTO, CA 95841-4139
Phone number: 916-473-5764
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Mailing Address
-- RODNEY ALLEN KIDWELL Registered student
11169 PIT RIVER CT
RANCHO CORDOVA, CA 95670-2919
Phone number: 916-283-1514
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