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1770936338
NICOLE CANONIGO
OAKLAND, CA
NPI
1770936338
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 102598)
Enumeration Date
2016-07-19
Last Update Date
2021-08-02
Business Address
NICOLE CANONIGO
3301 E 12TH ST
OAKLAND, CA 94601-3424
Phone number: 510-269-9030
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Mailing Address
NICOLE CANONIGO
3301 E 12TH ST
OAKLAND, CA 94601-3424
Phone number: 510-269-9030
Copy
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