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1215069299
JACQUELINE ANITA SMALL
SAN DIEGO, CA
NPI
1215069299
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW21926)
Enumeration Date
2007-03-12
Last Update Date
2021-03-03
Business Address
JACQUELINE ANITA SMALL
3020 CHILDRENS WAY
SAN DIEGO, CA 92123-4223
Phone number: 858-576-1700
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Mailing Address
JACQUELINE ANITA SMALL
3020 CHILDREN'S WAY MC5100
SAN DIEGO, CA 92123
Phone number: 858-966-1700
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