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1396152013
IAN STRAVINSKY
SAN DIEGO, CA
NPI
1396152013
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 84393)
Enumeration Date
2014-07-15
Last Update Date
2020-10-15
Business Address
IAN STRAVINSKY LCSW
7850 VISTA HILL AVE
SAN DIEGO, CA 92123-2717
Phone number: 858-465-6284
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Mailing Address
IAN STRAVINSKY LCSW
4231 BALBOA AVE # 3074
SAN DIEGO, CA 92117-5504
Phone number: 858-465-6284
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