LAWRENCE SHADDIX

MODESTO, CA
NPI1508282286
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
Enumeration Date2014-03-05
Last Update Date2014-03-05
Business Address
-- LAWRENCE SHADDIX
610 14TH ST
MODESTO, CA 95354-2505
Phone number: 209-524-4858
Mailing Address
-- LAWRENCE SHADDIX
610 14TH ST
MODESTO, CA 95354-2505
Phone number: 209-524-4858