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1609332501
SELAM KIDANE
SANTA CLARA, CA
NPI
1609332501
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 86301)
Enumeration Date
2019-02-15
Last Update Date
2022-01-03
Business Address
SELAM KIDANE LCSW
777 LAWRENCE EXPY
SANTA CLARA, CA 95051-5195
Phone number: 408-851-1000
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Mailing Address
SELAM KIDANE LCSW
2930 HUFF AVE APT 12
SAN JOSE, CA 95128-3010
Phone number: 408-930-5280
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