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1972014603
SPENSER WARREN SWINGLE
STOCKTON, CA
NPI
1972014603
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 40638)
Enumeration Date
2017-10-20
Last Update Date
2017-10-20
Business Address
SPENSER WARREN SWINGLE
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-0102
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Mailing Address
SPENSER WARREN SWINGLE
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-0102
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