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1619257458
MATTHEW TIDD
PALO ALTO, CA
NPI
1619257458
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW87912)
Enumeration Date
2011-08-24
Last Update Date
2022-12-13
Business Address
MATTHEW TIDD LCSW
3801 MIRANDA AVE
PALO ALTO, CA 94304-1207
Phone number: 650-493-5000
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Mailing Address
MATTHEW TIDD LCSW
PO BOX 45
CANYON, CA 94516-0045
Phone number:
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