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1508867649
GARY DOUGLAS HANSEN
VENTURA, CA
NPI
1508867649
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS3740)
Enumeration Date
2005-08-10
Last Update Date
2007-07-08
Business Address
Mr. GARY DOUGLAS HANSEN lcsw
1501 GOODYEAR AVE SUITE D
VENTURA, CA 93003-6438
Phone number: 805-650-8008
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Mailing Address
Mr. GARY DOUGLAS HANSEN lcsw
1501 GOODYEAR AVE SUITE D
VENTURA, CA 93003-6438
Phone number: 805-650-8008
Copy
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