Theodore Roger Stovall
Theodore Roger Stovall is a Peer Specialist in Sacramento, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2023
Practice location Address checks out
9229 Condesa DrSacramento, CA 95826-5241
Phone: (916) 208-1950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X (CA) |
|---|
Record details
| NPI number | 1669170114 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 22, 2023 |
| Last updated in NPPES | February 22, 2023 |
| Certification date | February 22, 2023 |
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