CLYDE CHILDRESS

SAN RAFAEL, CA
NPI1376998898
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: CA  C1106010028)
Enumeration Date2016-05-03
Last Update Date2016-05-03
Business Address
-- CLYDE CHILDRESS
1466 LINCOLN AVE
SAN RAFAEL, CA 94901-2021
Phone number: 415-457-3755
Mailing Address
-- CLYDE CHILDRESS
1466 LINCOLN AVE
SAN RAFAEL, CA 94901-2021
Phone number:
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