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1033478904
RAY EVERETT LILES
SAN BERNARDINO, CA
NPI
1033478904
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS7532)
Enumeration Date
2012-05-11
Last Update Date
2012-05-11
Business Address
Dr. RAY EVERETT LILES DSW, LCSW
1255 E HIGHLAND AVE STE 107
SAN BERNARDINO, CA 92404-4652
Phone number: 909-645-8579
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Mailing Address
Dr. RAY EVERETT LILES DSW, LCSW
PO BOX 1029
CRESTLINE, CA 92325-1029
Phone number: 909-645-8579
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