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1235269507
JENNIFER BLACK
OCEANSIDE, CA
NPI
1235269507
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Former Name
JENNIFER SHAW
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: CA LCS 25959)
Enumeration Date
2007-03-06
Last Update Date
2011-03-15
Business Address
Mrs. JENNIFER BLACK MSW, LCSW
3142 VISTA WAY STE 205
OCEANSIDE, CA 92056-3628
Phone number: 760-758-1480
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Mailing Address
Mrs. JENNIFER BLACK MSW, LCSW
3142 VISTA WAY STE 205
OCEANSIDE, CA 92056-3628
Phone number: 760-758-1480
Copy
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