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1881811420
MARTIN AYALA
POMONA, CA
NPI
1881811420
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 28221)
Enumeration Date
2007-04-18
Last Update Date
2021-12-02
Business Address
Mr. MARTIN AYALA LCSW
160 E HOLT AVE B
POMONA, CA 91767-5406
Phone number: 909-620-2521
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Mailing Address
Mr. MARTIN AYALA LCSW
2512 GIOVANNE WAY
WEST COVINA, CA 91792-5701
Phone number: 626-222-0911
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