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1083838023
JAIME A CRISANTO
RIVERSIDE, CA
NPI
1083838023
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW2189)
Enumeration Date
2007-04-12
Last Update Date
2019-02-20
Business Address
Mr. JAIME A CRISANTO LCSW
1410 3RD ST STE 6
RIVERSIDE, CA 92507
Phone number: 951-465-3664
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Mailing Address
Mr. JAIME A CRISANTO LCSW
14700 MANZANITA PARK RD
BEAUMONT, CA 92223
Phone number: 951-845-3155
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