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1306197066
CHAKA KHAN DENISE THEUS
PALMDALE, CA
NPI
1306197066
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 76678)
Enumeration Date
2012-09-20
Last Update Date
2021-05-04
Business Address
Ms. CHAKA KHAN DENISE THEUS LCSW
2323A E PALMDALE BLVD
PALMDALE, CA 93550-4957
Phone number: 213-247-6678
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Mailing Address
Ms. CHAKA KHAN DENISE THEUS LCSW
2323A E PALMDALE BLVD
PALMDALE, CA 93550-4957
Phone number: 323-895-9005
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