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1235258666
MAPLE JEAN TYSON
LANCASTER, CA
NPI
1235258666
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS23496)
Enumeration Date
2007-03-28
Last Update Date
2007-07-08
Business Address
-- MAPLE JEAN TYSON LCSW
43530 7TH ST E
LANCASTER, CA 93535-4742
Phone number: 818-832-7391
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Mailing Address
-- MAPLE JEAN TYSON LCSW
43530 7TH ST E
LANCASTER, CA 93535-4742
Phone number: 818-832-7391
Copy
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