JENNIFER PHOENIX DAWN

SOUTH LAKE TAHOE, CA
NPI1760614366
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  26121)
Enumeration Date2009-08-14
Last Update Date2019-05-31
Business Address
JENNIFER PHOENIX DAWN LCSW
1900 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150-6305
Phone number: 530-573-7970
Mailing Address
JENNIFER PHOENIX DAWN LCSW
1900 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150-6305
Phone number: 530-573-7970
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