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Individual
MR. CLINTON SANDOVAL
Active
Individual
MR. CLINTON SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
34901
CA
1041C0700X
Clinical Social Worker
Primary
LCSW78675
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34901
BOARD BEHAVIORAL OF SCIENCES
CA
Enumeration date
12/12/2013
Last updated
11/15/2021
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