Individual
MR. CLINT J SOARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
24511 W JAYNE AVE, COALINGA, CA 93210-9503
(559) 935-4301
(559) 935-7118
Mailing address
24511 W JAYNE AVE, COALINGA, CA 93210-9503
(559) 935-4301
(559) 935-7118
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
PSY18782
CA
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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