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1710185350
ALLEN EUGENE LIPSCOMB
UPLAND, CA
NPI
1710185350
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS28414)
Enumeration Date
2007-07-05
Last Update Date
2019-12-17
Business Address
ALLEN EUGENE LIPSCOMB LCSW
583 N MOUNTAIN AVE
UPLAND, CA 91786-5016
Phone number: 909-529-0071
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Mailing Address
ALLEN EUGENE LIPSCOMB LCSW
583 N MOUNTAIN AVE
UPLAND, CA 91786-5016
Phone number: 909-529-0071
Copy
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