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1609830066
LYDIA ENRIQUEZ
RANCHO CUCAMONGA, CA
NPI
1609830066
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Professional Name
LYDIA ENRIQUEZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 20528)
Enumeration Date
2006-04-13
Last Update Date
2018-11-29
Business Address
Ms. LYDIA ENRIQUEZ LCSW
8002 HAVEN AVE
RANCHO CUCAMONGA, CA 91730-3047
Phone number: 909-331-7440
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Mailing Address
Ms. LYDIA ENRIQUEZ LCSW
10808 FOOTHILL BLVD STE 160
RANCHO CUCAMONGA, CA 91730-0601
Phone number: 909-331-1744
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