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1497201602
MARIELA LICON
RIVERSIDE, CA
NPI
1497201602
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA ASW92543)
Enumeration Date
2016-08-28
Last Update Date
2023-07-24
Business Address
MARIELA LICON
10000 COUNTY FARM RD
RIVERSIDE, CA 92503-3508
Phone number: 951-358-4400
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Mailing Address
MARIELA LICON
10000 COUNTY FARM RD
RIVERSIDE, CA 92503-3508
Phone number: 951-358-4400
Copy
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