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1649034810
OCTAVIA MACK
SAN DIEGO, CA
NPI
1649034810
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-02-08
Last Update Date
2024-02-08
Business Address
OCTAVIA MACK
1925 EUCLID AVE
SAN DIEGO, CA 92105-5361
Phone number: 619-648-1158
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Mailing Address
OCTAVIA MACK
1925 EUCLID AVE
SAN DIEGO, CA 92105-5361
Phone number: 619-648-1158
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