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1114977121
CARLA MARIE DAVIDSON
RANCHO CUCAMONGA, CA
NPI
1114977121
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Former Name
CARLA MARIE LUCERO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 20719)
Enumeration Date
2006-05-11
Last Update Date
2007-07-08
Business Address
Mrs. CARLA MARIE DAVIDSON LCSW
8253 WHITE OAK AVE
RANCHO CUCAMONGA, CA 91730-7671
Phone number: 909-987-1997
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Mailing Address
Mrs. CARLA MARIE DAVIDSON LCSW
1249 W 14TH ST
UPLAND, CA 91786-2518
Phone number: 909-981-9989
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