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1295922870
JUAN JOSE PENA
GARDENA, CA
NPI
1295922870
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW 59897)
Enumeration Date
2007-09-27
Last Update Date
2018-07-31
Business Address
JUAN JOSE PENA
108 W VICTORIA ST
GARDENA, CA 90248
Phone number: 310-715-2020
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Mailing Address
JUAN JOSE PENA
108 W VICTORIA ST
GARDENA, CA 90248-3523
Phone number: 310-715-2020
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