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1114489804
JORGE CANSECO
HUNTINGTON PARK, CA
NPI
1114489804
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 8592)
Enumeration Date
2019-04-02
Last Update Date
2019-04-02
Business Address
JORGE CANSECO LCSW
2677 ZOE AVE STE 120
HUNTINGTON PARK, CA 90255-6995
Phone number: 323-589-1902
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Mailing Address
JORGE CANSECO LCSW
2677 ZOE AVE STE 120
HUNTINGTON PARK, CA 90255-6995
Phone number: 323-589-1902
Copy
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