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1013675537
GERALDINE DATE
ORANGE, CA
NPI
1013675537
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 27848)
Enumeration Date
2021-12-01
Last Update Date
2021-12-01
Business Address
GERALDINE DATE LCSW
101 THE CITY DR S
ORANGE, CA 92868-3201
Phone number: 714-456-5523
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Mailing Address
GERALDINE DATE LCSW
101 THE CITY DR S
ORANGE, CA 92868-3201
Phone number:
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