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1780385492
MARK KUNTZ
LAKE FOREST, CA
NPI
1780385492
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 17133)
Enumeration Date
2023-03-10
Last Update Date
2023-03-10
Business Address
MARK KUNTZ LCSW
24381 PEACOCK ST
LAKE FOREST, CA 92630-1843
Phone number: 949-636-8831
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Mailing Address
MARK KUNTZ LCSW
24381 PEACOCK ST
LAKE FOREST, CA 92630-1843
Phone number: 949-636-8831
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