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1326161795
JED E. SHAFER
ONTARIO, CA
NPI
1326161795
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS9580)
Enumeration Date
2007-04-09
Last Update Date
2012-10-18
Business Address
Mr. JED E. SHAFER LCSW
855 N EUCLID AVE
ONTARIO, CA 91762-2762
Phone number: 909-983-2020
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Mailing Address
Mr. JED E. SHAFER LCSW
855 N EUCLID AVE
ONTARIO, CA 91762-2762
Phone number: 909-983-2020
Copy
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