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1982730438
JERRY STOVALL
REDDING, CA
NPI
1982730438
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS16319)
Enumeration Date
2007-02-26
Last Update Date
2007-07-09
Business Address
-- JERRY STOVALL L.C.S.W.
2485 OLD EUREKA WAY
REDDING, CA 96001-0336
Phone number: 530-242-8971
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Mailing Address
-- JERRY STOVALL L.C.S.W.
2485 OLD EUREKA WAY
REDDING, CA 96001-0336
Phone number: 530-242-8971
Copy
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