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1457408445
MICHAEL ALLEN HVIDT
SANTA ROSA, CA
NPI
1457408445
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-01-04
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL ALLEN HVIDT
144 S E ST
SANTA ROSA, CA 95404-4777
Phone number: 415-457-6964
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Mailing Address
Mr. MICHAEL ALLEN HVIDT
2727 WAWONA CT
SANTA ROSA, CA 95405-8437
Phone number: 707-576-0965
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