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1063863058
JONATHAN SICKINGER
TARZANA, CA
NPI
1063863058
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 78201)
Enumeration Date
2016-06-30
Last Update Date
2024-02-27
Business Address
JONATHAN SICKINGER
5700 ETIWANDA AVE UNIT 240
TARZANA, CA 91356-2543
Phone number: 310-871-2989
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Mailing Address
JONATHAN SICKINGER
5252 TOPEKA DR
TARZANA, CA 91356-3923
Phone number: 310-871-2989
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