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1902944580
SCOTT MATTHEW TAUBOLD
FORT BRAGG, CA
NPI
1902944580
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: CA PSY20805)
Enumeration Date
2007-02-03
Last Update Date
2012-10-17
Business Address
Dr. SCOTT MATTHEW TAUBOLD Ph.D.
347 CYPRESS ST STE B
FORT BRAGG, CA 95437-5458
Phone number: 707-964-5143
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Mailing Address
Dr. SCOTT MATTHEW TAUBOLD Ph.D.
790 S FRANKLIN ST STE B
FORT BRAGG, CA 95437-5456
Phone number: 707-961-2669
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