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1700539590
DESERAE L QUEZADA
RIVERSIDE, CA
NPI
1700539590
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW95180)
Enumeration Date
2022-02-01
Last Update Date
2022-02-01
Business Address
DESERAE L QUEZADA LCSW
1845 CHICAGO AVE STE B
RIVERSIDE, CA 92507-2366
Phone number: 951-465-3664
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Mailing Address
DESERAE L QUEZADA LCSW
822 S BREDEN LN
RIALTO, CA 92376-7829
Phone number: 909-609-6078
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