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1063288561
JONATHAN TENNISON
OAKLAND, CA
NPI
1063288561
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: CA 4358)
Enumeration Date
2023-11-27
Last Update Date
2023-11-27
Business Address
JONATHAN TENNISON Ed.S., NCSP, LEP
4192 PIEDMONT AVE
OAKLAND, CA 94611-5133
Phone number: 512-565-0187
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Mailing Address
JONATHAN TENNISON Ed.S., NCSP, LEP
PO BOX 20703
OAKLAND, CA 94620-0703
Phone number:
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