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1376531491
EDWIN D. CROUSE
TRAVIS AFB, CA
NPI
1376531491
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 5387)
Enumeration Date
2005-10-12
Last Update Date
2013-07-25
Business Address
-- EDWIN D. CROUSE
101 BODIN CIR
TRAVIS AFB, CA 94535-1809
Phone number: 707-423-5145
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Mailing Address
-- EDWIN D. CROUSE
101 BODIN CIR
TRAVIS AFB, CA 94535-1809
Phone number:
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