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1821163791
EDMOND ANDERS MORTENSEN
BAKERSFIELD, CA
NPI
1821163791
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS5177)
Enumeration Date
2006-11-23
Last Update Date
2007-07-09
Business Address
Mr. EDMOND ANDERS MORTENSEN L.C.S.W.
5500 MING AVE SUITE 130
BAKERSFIELD, CA 93309-4689
Phone number: 661-832-2700
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Mailing Address
Mr. EDMOND ANDERS MORTENSEN L.C.S.W.
1901 SULLY CT
BAKERSFIELD, CA 93311-1504
Phone number: 661-664-0436
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