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1720721939
HENRY JOSEPH MENDOZA CORDOVA
VISTA, CA
NPI
1720721939
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 107659)
Enumeration Date
2022-04-15
Last Update Date
2023-09-21
Business Address
HENRY JOSEPH MENDOZA CORDOVA LCSW
780 SHADOWRIDGE DR
VISTA, CA 92083-7986
Phone number: 833-574-2273
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Mailing Address
HENRY JOSEPH MENDOZA CORDOVA LCSW
PO BOX 732
SAN MARCOS, CA 92079-0732
Phone number:
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