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1740412493
ELIJAH CHANCE
SANTA CRUZ, CA
NPI
1740412493
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW65190)
Enumeration Date
2009-08-13
Last Update Date
2015-10-21
Business Address
-- ELIJAH CHANCE
1400 EMELINE AVE
SANTA CRUZ, CA 95060-1976
Phone number: 831-454-4971
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Mailing Address
-- ELIJAH CHANCE
1400 EMELINE AVE
SANTA CRUZ, CA 95060-1976
Phone number: 831-454-4971
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