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1245251180
WONGALETU VANDA
SAN DIEGO, CA
NPI
1245251180
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: CA LCS14139)
Enumeration Date
2006-07-23
Last Update Date
2007-07-08
Business Address
MR. WONGALETU VANDA LCSW
8810 RIO SAN DIEGO DR
SAN DIEGO, CA 92108-1622
Phone number: 619-400-5166
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Mailing Address
MR. WONGALETU VANDA LCSW
13861 PASEO ALDABRA
SAN DIEGO, CA 92129-2105
Phone number: 858-484-4543
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