Individual
JOHN R HYSLOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACSW
Contact information
Practice address
2150 STOCKTON BLVD, SACRAMENTO, CA 95817-1337
(916) 875-1114
Mailing address
372 FLORIN RD # 213, SACRAMENTO, CA 95831-1407
(916) 393-8580
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
18513
CA
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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