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1033125059
PAUL SAMUEL CRENSHAW
MODESTO, CA
NPI
1033125059
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: CA LCS 17708)
Enumeration Date
2006-07-31
Last Update Date
2012-12-28
Business Address
PAUL SAMUEL CRENSHAW LCSW
726 14TH ST STE A
MODESTO, CA 95354-2549
Phone number: 209-614-1440
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Mailing Address
PAUL SAMUEL CRENSHAW LCSW
2113 ALOHA WAY
MODESTO, CA 95350-3103
Phone number: 209-614-1440
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