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1043645468
SAM WEISS
LAKEWOOD, CA
NPI
1043645468
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 86590)
Enumeration Date
2013-09-04
Last Update Date
2021-10-05
Business Address
Mr. SAM WEISS
6147 IBBETSON AVE
LAKEWOOD, CA 90713-1043
Phone number: 949-478-5062
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Mailing Address
Mr. SAM WEISS
6147 IBBETSON AVE
LAKEWOOD, CA 90713-1043
Phone number: 949-478-5062
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