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1740823764
ETHEL LUCILLE NEWTON-BASCOMB
SANTA CRUZ, CA
NPI
1740823764
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 61126)
Enumeration Date
2019-10-22
Last Update Date
2019-10-22
Business Address
ETHEL LUCILLE NEWTON-BASCOMB
2250 SOQUEL AVE
SANTA CRUZ, CA 95062-1402
Phone number: 831-600-2800
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Mailing Address
ETHEL LUCILLE NEWTON-BASCOMB
2250 SOQUEL AVE
SANTA CRUZ, CA 95062-1402
Phone number: 831-600-2800
Copy
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