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1811640964
JOHNNY ASENCION CUESTAS
SACRAMENTO, CA
NPI
1811640964
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 100299)
Enumeration Date
2022-01-29
Last Update Date
2022-01-29
Business Address
JOHNNY ASENCION CUESTAS LCSW
836 57TH ST STE 572
SACRAMENTO, CA 95819-3327
Phone number: 916-460-1822
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Mailing Address
JOHNNY ASENCION CUESTAS LCSW
836 57TH ST STE 572
SACRAMENTO, CA 95819-3327
Phone number: 916-460-1822
Copy
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