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1497162119
INGRID VICENCIO
RIVERSIDE, CA
NPI
1497162119
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW113871)
Enumeration Date
2014-07-14
Last Update Date
2023-10-31
Business Address
INGRID VICENCIO
4095 COUNTY CIRCLE DR
RIVERSIDE, CA 92503-3410
Phone number: 951-940-6755
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Mailing Address
INGRID VICENCIO
4095 COUNTY CIRCLE DR
RIVERSIDE, CA 92503-3410
Phone number: 951-940-6755
Copy
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