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1205053840
SUSAN JO KAGAN VAN CAMPEN
RIVERSIDE, CA
NPI
1205053840
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 10913)
Enumeration Date
2007-04-18
Last Update Date
2007-07-08
Business Address
-- SUSAN JO KAGAN VAN CAMPEN LCSW
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505-3043
Phone number: 951-358-2625
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Mailing Address
-- SUSAN JO KAGAN VAN CAMPEN LCSW
22720 VAN BUREN ST
GRAND TERRACE, CA 92313-5700
Phone number: 951-358-2625
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