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1356558266
GLENN PUTNAM GOODLOVE
SAN DIEGO, CA
NPI
1356558266
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA CA 1450)
Enumeration Date
2007-05-17
Last Update Date
2007-07-09
Business Address
Mr. GLENN PUTNAM GOODLOVE LCSW
10749 ESCOBAR DR
SAN DIEGO, CA 92124-2026
Phone number: 858-569-1248
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Mailing Address
Mr. GLENN PUTNAM GOODLOVE LCSW
10749 ESCOBAR DR
SAN DIEGO, CA 92124-2026
Phone number: 858-569-1248
Copy
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