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1548082795
TIMOTHY LYDON
SANTA ROSA, CA
NPI
1548082795
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-10-29
Last Update Date
2024-10-29
Business Address
TIMOTHY LYDON CRC
2285 CHALLENGER WAY
SANTA ROSA, CA 95407-5418
Phone number: 707-524-6895
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Mailing Address
TIMOTHY LYDON CRC
2285 CHALLENGER WAY
SANTA ROSA, CA 95407-5418
Phone number:
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