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1003174699
JUSTIN SPRAGUE WEBER
ALISO VIEJO, CA
NPI
1003174699
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS26201)
Enumeration Date
2012-05-02
Last Update Date
2024-12-09
Business Address
JUSTIN SPRAGUE WEBER
33 SUNSWEPT MESA
ALISO VIEJO, CA 92656-8073
Phone number: 323-868-9722
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Mailing Address
JUSTIN SPRAGUE WEBER
33 SUNSWEPT MESA
ALISO VIEJO, CA 92656-8073
Phone number: 323-868-9722
Copy
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