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1255751566
SUZANNE MARILYN GOTHARD
SAN DIEGO, CA
NPI
1255751566
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 86535)
Enumeration Date
2014-04-25
Last Update Date
2021-03-07
Business Address
SUZANNE MARILYN GOTHARD LCSW
734 10TH AVE
SAN DIEGO, CA 92101-6502
Phone number: 619-239-4663
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Mailing Address
SUZANNE MARILYN GOTHARD LCSW
734 10TH AVE
SAN DIEGO, CA 92101-6502
Phone number: 619-239-4663
Copy
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