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1760681316
SARA LICON
ANAHEIM, CA
NPI
1760681316
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 80557)
Enumeration Date
2007-07-13
Last Update Date
2023-05-30
Business Address
Miss SARA LICON LCSW
303 W LINCOLN AVE STE 105
ANAHEIM, CA 92805-2928
Phone number: 714-922-4117
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Mailing Address
Miss SARA LICON LCSW
801 E KATELLA AVE
ANAHEIM, CA 92805-6614
Phone number: 714-922-4117
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