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Individual

ALFED DAVID JUUAREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
50100 GOLSH RD, VALLEY CENTER, CA 92082-5338
(760) 749-1410
Mailing address
PO BOX 406, PAUMA VALLEY, CA 92061-0406
(760) 749-1410

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS20137
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00020137
STATE LICENSE
CA
Enumeration date
02/07/2008
Last updated
02/07/2008
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