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1437354875
MARY SUSAN THICKSTUN
SAN DIEGO, CA
NPI
1437354875
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 21573)
Enumeration Date
2007-06-17
Last Update Date
2018-03-17
Business Address
Dr. MARY SUSAN THICKSTUN Ph.D., LCSW
2204 NATIONAL AVE
SAN DIEGO, CA 92113-3615
Phone number: 619-515-2355
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Mailing Address
Dr. MARY SUSAN THICKSTUN Ph.D., LCSW
823 GATEWAY CENTER WAY
SAN DIEGO, CA 92102-4541
Phone number: 619-906-4623
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