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1902086523
SAMUEL TRACER
ENCINITAS, CA
NPI
1902086523
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 7700)
Enumeration Date
2007-11-12
Last Update Date
2007-11-12
Business Address
Mr. SAMUEL TRACER LCSW
4401 MANCHESTER AVE # 208
ENCINITAS, CA 92024-4938
Phone number: 760-436-3216
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Mailing Address
Mr. SAMUEL TRACER LCSW
4401 MANCHESTER AVE # 208
ENCINITAS, CA 92024-4938
Phone number: 760-436-3216
Copy
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