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1538704002
KEITH EUEGENE LYONS
SAN DIEGO, CA
NPI
1538704002
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 92724)
Enumeration Date
2019-11-08
Last Update Date
2023-07-28
Business Address
KEITH EUEGENE LYONS LCSW
1205 PASEO SEA CLF UNIT 69
SAN DIEGO, CA 92154-6342
Phone number: 619-632-1002
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Mailing Address
KEITH EUEGENE LYONS LCSW
1205 PASEO SEA CLF UNIT 69
SAN DIEGO, CA 92154-6342
Phone number: 619-632-1002
Copy
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