JACK DUANE EDMONDSON

POWAY, CA
NPI1093987166
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  1903)
Enumeration Date2008-03-29
Last Update Date2008-03-29
Business Address
-- JACK DUANE EDMONDSON LCSW
14207 KENDRA WAY
POWAY, CA 92064-3330
Phone number: 858-748-7093
Mailing Address
-- JACK DUANE EDMONDSON LCSW
14207 KENDRA WAY
POWAY, CA 92064-3330
Phone number: 858-748-7093
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