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1457449670
BEN LAZARE MIJUSKOVIC
CERRITOS, CA
NPI
1457449670
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Professional Name
BEN LAZARE MIJUSKOVIC
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS16549)
Enumeration Date
2006-10-11
Last Update Date
2007-07-08
Business Address
Mr. BEN LAZARE MIJUSKOVIC LCSW
17707 STUDEBAKER RD
CERRITOS, CA 90703-2640
Phone number: 562-402-0688
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Mailing Address
Mr. BEN LAZARE MIJUSKOVIC LCSW
428 CARNATION AVE
CORONA DEL MAR, CA 92625-2843
Phone number: 949-675-7332
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