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Individual

MR. GARY MITCHELL SNIDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
390 40TH STREET, OAKLAND, CA 94609
(510) 318-6137
Mailing address
390 40TH ST, OAKLAND, CA 94609-2633

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
85414
CA

Other

Enumeration date
10/02/2018
Last updated
10/02/2018
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