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1669920013
ANDREW LISTVINSKY
SAN DIEGO, CA
NPI
1669920013
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW114861)
Enumeration Date
2016-09-14
Last Update Date
2024-07-24
Business Address
ANDREW LISTVINSKY LCSW
5252 BALBOA AVE STE 408
SAN DIEGO, CA 92117-6939
Phone number: 858-333-6856
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Mailing Address
ANDREW LISTVINSKY LCSW
PO BOX 178309
SAN DIEGO, CA 92177-8309
Phone number: 858-201-6673
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