Individual
MR. CLINTON TAXDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
719 J ST, SACRAMENTO, CA 95814-2501
(916) 444-3118
Mailing address
2277 FAIR OAKS BLVD, STE. 440, SACRAMENTO, CA 95825-5533
(916) 441-0123
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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