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1962773523
JUSTEN THOMAS VERNON
LAKE ELSINORE, CA
NPI
1962773523
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 63041)
Enumeration Date
2012-01-13
Last Update Date
2018-12-14
Business Address
JUSTEN THOMAS VERNON MSW
224 W GRAHAM AVE
LAKE ELSINORE, CA 92530-3740
Phone number: 951-318-1351
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Mailing Address
JUSTEN THOMAS VERNON MSW
225 W GRAHAM AVE
LAKE ELSINORE, CA 92530
Phone number: 760-500-7220
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