DEAN ALLEN SIDWELL

SAN DIEGO, CA
NPI1942646807
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  28377)
Enumeration Date2013-05-20
Last Update Date2013-05-22
Business Address
Mr. DEAN ALLEN SIDWELL
4930 BAJA CT
SAN DIEGO, CA 92115-2230
Phone number: 619-405-7410
Mailing Address
Mr. DEAN ALLEN SIDWELL
4930 BAJA COURT
SAN DIEGO, CA 92115
Phone number: 619-405-7410