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1083710594
PAMELA SUZANNE GENGO
BANNING, CA
NPI
1083710594
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 11303)
Enumeration Date
2006-09-15
Last Update Date
2007-07-16
Business Address
Ms. PAMELA SUZANNE GENGO LCSW
1330 W RAMSEY ST STE 100 BANNING MENTAL HEALTH CLINIC
BANNING, CA 92220-4448
Phone number: 951-849-7142
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Mailing Address
Ms. PAMELA SUZANNE GENGO LCSW
BANNING MENTAL HEALTH CLINIC P.O. BOX 1148
BANNING, CA 92220-4448
Phone number: 951-849-7142
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