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1497250351
IVAN MARTINEZ GONZALEZ
COLUSA, CA
NPI
1497250351
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 113824)
Enumeration Date
2018-03-23
Last Update Date
2023-12-29
Business Address
IVAN MARTINEZ GONZALEZ LCSW
162 E CARSON ST STE B
COLUSA, CA 95932-2880
Phone number: 530-458-0520
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Mailing Address
IVAN MARTINEZ GONZALEZ LCSW
162 E CARSON ST STE B
COLUSA, CA 95932-2880
Phone number: 530-458-0520
Copy
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