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Individual

MS. TAMMY LYNETTE CLOUD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8711 MACARTHUR BLVD, OAKLAND, CA 94605-4000
(510) 428-3556
Mailing address
3300 ELM ST, OAKLAND, CA 94609-3012
(510) 681-7545
(510) 594-0667

Taxonomy

Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary

Other

Enumeration date
09/11/2018
Last updated
09/11/2018
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