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1013154970
JEREMY LIGHTELL
HAYWARD, CA
NPI
1013154970
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW93817)
Enumeration Date
2009-01-14
Last Update Date
2022-04-06
Business Address
Mr. JEREMY LIGHTELL LCSW
409 JACKSON ST
HAYWARD, CA 94544-1530
Phone number: 510-891-5600
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Mailing Address
Mr. JEREMY LIGHTELL LCSW
409 JACKSON ST
HAYWARD, CA 94544-1530
Phone number: 510-891-5600
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