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1336990563
SAMUEL SKIDMORE
BERKELEY, CA
NPI
1336990563
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-03-27
Last Update Date
2024-03-27
Business Address
SAMUEL SKIDMORE MS
2222 BANCROFT WAY SPC 4300
BERKELEY, CA 94720-4300
Phone number: 510-642-9494
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Mailing Address
SAMUEL SKIDMORE MS
4056 S SUADA CIR
HOLLADAY, UT 84124-1748
Phone number:
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