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1194206177
SUSAN WAASDORP
UPLAND, CA
NPI
1194206177
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA lcsw20164)
Enumeration Date
2018-08-27
Last Update Date
2018-08-27
Business Address
SUSAN WAASDORP
390 N EUCLID AVE
UPLAND, CA 91786-4763
Phone number: 909-949-6526
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Mailing Address
SUSAN WAASDORP
390 N EUCLID AVE
UPLAND, CA 91786-4763
Phone number: 909-949-1864
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