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1194584086
RENE MARTIN MATHIS
SAN DIEGO, CA
NPI
1194584086
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW112258)
Enumeration Date
2024-03-14
Last Update Date
2024-03-14
Business Address
RENE MARTIN MATHIS LCSW
2274 ELROD ST
SAN DIEGO, CA 92145-0001
Phone number: 619-829-6583
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Mailing Address
RENE MARTIN MATHIS LCSW
PO BOX 212974
CHULA VISTA, CA 91921-2974
Phone number: 619-829-6583
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