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1760009674
DANIEL TERRY
COLTON, CA
NPI
1760009674
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 117630)
Enumeration Date
2020-06-26
Last Update Date
2023-08-31
Business Address
DANIEL TERRY
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-3145
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Mailing Address
DANIEL TERRY
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number:
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