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1093853103
MARIO WALTHER VICTOR
FREMONT, CA
NPI
1093853103
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 20292)
Enumeration Date
2007-02-01
Last Update Date
2023-05-02
Business Address
Mr. MARIO WALTHER VICTOR MSW
39650 LIBERTY ST
FREMONT, CA 94538-2223
Phone number: 510-498-2890
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Mailing Address
Mr. MARIO WALTHER VICTOR MSW
325 DISTEL CIR
LOS ALTOS, CA 94022-1408
Phone number: 510-498-2890
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