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Individual

MRS. JESSICA LYNN DITSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3142 VISTA WAY, SUITE 400, OCEANSIDE, CA 92056-3619
(760) 726-4900
Mailing address
612 PUSAN DR, OCEANSIDE, CA 92058-8148
(817) 471-9859

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
08/23/2012
Last updated
08/23/2012
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