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1295369072
AHMED I OBAKHUME
RIVERSIDE, CA
NPI
1295369072
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 82959)
Enumeration Date
2020-03-02
Last Update Date
2020-03-02
Business Address
AHMED I OBAKHUME LCSW
4013 BROCKTON AVE
RIVERSIDE, CA 92501-3440
Phone number: 909-289-4075
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Mailing Address
AHMED I OBAKHUME LCSW
PO BOX 452573
LOS ANGELES, CA 90045-8535
Phone number:
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