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1326174061
JUAN M IBARRA
OAKLAND, CA
NPI
1326174061
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 22098)
Enumeration Date
2007-02-26
Last Update Date
2007-07-08
Business Address
-- JUAN M IBARRA LCSW
3900 BROADWAY
OAKLAND, CA 94611-5616
Phone number: 510-752-6718
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Mailing Address
-- JUAN M IBARRA LCSW
3900 BROADWAY
OAKLAND, CA 94611-5616
Phone number: 510-752-6718
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