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1891999561
PHILLIP EDWARD CALDWELL
SACRAMENTO, CA
NPI
1891999561
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-06-14
Last Update Date
2007-07-08
Business Address
-- PHILLIP EDWARD CALDWELL Register MFT intern
2445 ALBATROSS WAY #101
SACRAMENTO, CA 95815-2878
Phone number: 916-631-0771
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Mailing Address
-- PHILLIP EDWARD CALDWELL Register MFT intern
PO BOX 1127
WALNUT GROVE, CA 95690-1127
Phone number: 916-477-0028
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