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1124349394
GREG DAVID THEDELL
SAN DIEGO, CA
NPI
1124349394
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-06-22
Last Update Date
2010-06-22
Business Address
Mr. GREG DAVID THEDELL BSW
9445 FARNHAM ST SUITE 100
SAN DIEGO, CA 92123-1308
Phone number: 619-279-1982
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Mailing Address
Mr. GREG DAVID THEDELL BSW
4174 MANDARIN TER
SAN DIEGO, CA 92115-6053
Phone number: 858-337-1421
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