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1396253803
DAVID R SHADDOCK
BERKELEY, CA
NPI
1396253803
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFT20360)
Enumeration Date
2018-01-18
Last Update Date
2018-01-18
Business Address
DAVID R SHADDOCK MFT
3030 ASHBY AVENUE, # 105
BERKELEY, CA 94705
Phone number: 510-836-1692
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Mailing Address
DAVID R SHADDOCK MFT
3030 ASHBY AVENUE, # 105
BERKELEY, CA 94705
Phone number: 510-836-1692
Copy
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