ALEXA NICHOLE KIDMAN

FAIR OAKS, CA
NPI1760133300
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  106466)
Enumeration Date2022-01-14
Last Update Date2022-01-14
Business Address
ALEXA NICHOLE KIDMAN
4125 TEMESCAL ST
FAIR OAKS, CA 95628-7558
Phone number: 916-877-6894
Mailing Address
ALEXA NICHOLE KIDMAN
5716 FOLSOM BLVD # 276
SACRAMENTO, CA 95819-4608
Phone number: 801-649-9632
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