TINA LILLIEDOLL

WEST SACRAMENTO, CA
NPI1518177443
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  97349)
Enumeration Date2007-05-22
Last Update Date2025-08-05
Business Address
TINA LILLIEDOLL
500 JEFFERSON BLVD STE B180
WEST SACRAMENTO, CA 95605-2394
Phone number: 916-403-2900
Mailing Address
TINA LILLIEDOLL
PO BOX 1260
DAVIS, CA 95617-1260
Phone number: 530-753-3498
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