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1891707758
MARY LOU CARMEN YOUNG
LOMA LINDA, CA
NPI
1891707758
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 23393)
Enumeration Date
2006-08-12
Last Update Date
2007-07-08
Business Address
-- MARY LOU CARMEN YOUNG LCSW
LOMA LINDA VA MEDICAL CTR 11201 BENTON STREET
LOMA LINDA, CA 92357-1000
Phone number: 909-825-7084
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Mailing Address
-- MARY LOU CARMEN YOUNG LCSW
6874 RANCHGROVE RD
RIVERSIDE, CA 92506-5307
Phone number: 951-780-7986
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