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1295939932
JACK DE LA TORRE
SANTA CRUZ, CA
NPI
1295939932
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA ASW14280)
Enumeration Date
2007-06-14
Last Update Date
2007-07-08
Business 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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Mailing Address
-- JACK DE LA TORRE ASW
1400 EMELINE AVE BLDG K
SANTA CRUZ, CA 95060-1976
Phone number: 831-454-4900
Copy
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