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Individual

GORDON BALDWIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6147 SUTTER AVE, CARMICHAEL, CA 95608-2738
(916) 971-7640
Mailing address
6147 SUTTER AVE, CARMICHAEL, CA 95608-2738

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY16063
CA

Other

Enumeration date
08/31/2006
Last updated
07/08/2007
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