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1275547481
JOHN ROY BISENIUS
PALO ALTO, CA
NPI
1275547481
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 20703)
Enumeration Date
2006-07-27
Last Update Date
2013-12-06
Business Address
Mr. JOHN ROY BISENIUS LCSW
200 CHANNING AVE
PALO ALTO, CA 94301-2720
Phone number: 650-688-3097
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Mailing Address
Mr. JOHN ROY BISENIUS LCSW
200 CHANNING AVE
PALO ALTO, CA 94301-2720
Phone number: 650-388-6201
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