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1689702466
CAMILLE J FAGENSON
SAN MARINO, CA
NPI
1689702466
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS14489)
Enumeration Date
2007-03-01
Last Update Date
2007-11-26
Business Address
-- CAMILLE J FAGENSON L.C.S.W.
2400 MISSION ST
SAN MARINO, CA 91108-1632
Phone number: 626-403-8999
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Mailing Address
-- CAMILLE J FAGENSON L.C.S.W.
2400 MISSION ST
SAN MARINO, CA 91108-1632
Phone number: 626-403-8999
Copy
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