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1649772534
ANGELICA BANUELOS
ELK GROVE, CA
NPI
1649772534
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 69786)
Enumeration Date
2018-03-06
Last Update Date
2018-03-06
Business Address
ANGELICA BANUELOS LCSW
12500 BRUCEVILLE RD
ELK GROVE, CA 95757-9784
Phone number: 916-874-1042
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Mailing Address
ANGELICA BANUELOS LCSW
12500 BRUCEVILLE RD
ELK GROVE, CA 95757-9784
Phone number: 916-874-1042
Copy
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