Individual
MR. CLINT UDELL IMBODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
1429 OAK ST, ALAMEDA, CA 94501-4568
(510) 522-4668
Mailing address
1429 OAK ST, ALAMEDA, CA 94501-4568
(510) 522-4668
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/17/2010
Last updated
05/17/2010
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