Individual
ALEXANDER LAWRENCE PADILLA-HARROLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 W 11TH ST, TRACY, CA 95376-3944
(209) 831-5941
Mailing address
8534 DON AVE, STOCKTON, CA 95209-2306
(707) 718-7963
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
129143
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/15/2022
Last updated
04/29/2026
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