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Individual

DAVID STIVALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BSW

Contact information

Practice address
3132 JEFFERSON ST, SAN DIEGO, CA 92110-4421
(619) 683-3100
(619) 682-4037
Mailing address
3132 JEFFERSON STREET, SAN DIEGO, CA 92110
(619) 683-3100
(619) 682-4037

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
07/25/2012
Last updated
07/25/2012
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