SAMUEL SKIDMORE

BERKELEY, CA
NPI1336990563
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2024-03-27
Last Update Date2024-03-27
Business Address
SAMUEL SKIDMORE MS
2222 BANCROFT WAY SPC 4300
BERKELEY, CA 94720-4300
Phone number: 510-642-9494
Mailing Address
SAMUEL SKIDMORE MS
4056 S SUADA CIR
HOLLADAY, UT 84124-1748
Phone number: