TAG M MCFADDEN

STOCKTON, CA
NPI1962775528
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2012-02-13
Last Update Date2012-02-13
Business Address
-- TAG M MCFADDEN
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8660
Mailing Address
-- TAG M MCFADDEN
1615 S CHURCH ST
LODI, CA 95240-6205
Phone number: 530-570-1768
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