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1386938793
CARY BRANNON CLEVENGER
ALISO VIEJO, CA
NPI
1386938793
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS19005)
Enumeration Date
2011-06-02
Last Update Date
2011-06-02
Business Address
-- CARY BRANNON CLEVENGER LCSW
5 MAREBLU
ALISO VIEJO, CA 92656-3014
Phone number: 949-643-6935
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Mailing Address
-- CARY BRANNON CLEVENGER LCSW
405 W 5TH ST STE 202
SANTA ANA, CA 92701-4525
Phone number: 714-834-3413
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