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1861033664
PENN SHELTON
GARDENA, CA
NPI
1861033664
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 125557)
Enumeration Date
2019-10-02
Last Update Date
2024-09-24
Business Address
PENN SHELTON LCSW - 125557
13605 S VERMONT AVE APT 14
GARDENA, CA 90247-2060
Phone number: 818-212-5968
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Mailing Address
PENN SHELTON LCSW - 125557
13605 S VERMONT AVE APT 14
GARDENA, CA 90247-2060
Phone number: 818-212-5968
Copy
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