JOHN MADISON BEACH

SAN DIEGO, CA
NPI1841717725
Other NameJOHNNY MADISON BEACH
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: OR  7235)
Enumeration Date2017-08-23
Last Update Date2017-08-23
Business Address
JOHN MADISON BEACH LCSW
7410 MISSION VALLEY RD
SAN DIEGO, CA 92108-4405
Phone number: 503-516-0257
Mailing Address
JOHN MADISON BEACH LCSW
4443 LOUISIANA ST # SI
SAN DIEGO, CA 92116-4166
Phone number: 503-516-0257
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