Individual
ANNIE LINN STODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 BON AIR RD, GREENBRAE, CA 94904
(415) 473-6835
Mailing address
555 NORTHGATE DR, SAN RAFAEL, CA 94903-3680
(415) 526-7500
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
04/17/2018
Last updated
06/26/2018
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