JASON D HENNICK

SAN DIEGO, CA
NPI1134255755
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  LCS 28047)
Enumeration Date2007-02-26
Last Update Date2013-07-24
Business Address
Mr. JASON D HENNICK LCSW
3255 WING ST
SAN DIEGO, CA 92110-4638
Phone number: 619-521-3939
Mailing Address
Mr. JASON D HENNICK LCSW
3255 WING ST
SAN DIEGO, CA 92110-4638
Phone number: 619-521-3939
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