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1457404188
RANDALL M ALLE-CORLISS
FONTANA, CA
NPI
1457404188
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 9646)
Enumeration Date
2007-01-18
Last Update Date
2007-07-08
Business Address
Mr. RANDALL M ALLE-CORLISS LCSW
9310 SIERRA AVE
FONTANA, CA 92335-5711
Phone number: 909-427-3788
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Mailing Address
Mr. RANDALL M ALLE-CORLISS LCSW
9310 SIERRA AVE
FONTANA, CA 92335-5711
Phone number: 909-427-3788
Copy
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