JACK DE LA TORRE

SANTA CRUZ, CA
NPI1295939932
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: CA  ASW14280)
Enumeration Date2007-06-14
Last Update Date2007-07-08
Business Address
JACK DE LA TORRE ASW
1400 EMELINE AVE BLDG K
SANTA CRUZ, CA 95060-1976
Phone number: 831-454-4900
Mailing Address
JACK DE LA TORRE ASW
1400 EMELINE AVE BLDG K
SANTA CRUZ, CA 95060-1976
Phone number: 831-454-4900
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