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1093061889
LEO JOE CRUZ
FONTANA, CA
NPI
1093061889
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 28485)
Enumeration Date
2012-07-30
Last Update Date
2012-07-30
Business Address
-- LEO JOE CRUZ LCSW
17284 SLOVER AVE
FONTANA, CA 92337-7584
Phone number: 909-743-9978
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Mailing Address
-- LEO JOE CRUZ LCSW
17284 SLOVER AVE
FONTANA, CA 92337-7584
Phone number: 909-743-9978
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