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1114667243
TANYA BATEZA ZODULUA
SAN PEDRO, CA
NPI
1114667243
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 121421)
Enumeration Date
2022-03-29
Last Update Date
2024-06-25
Business Address
TANYA BATEZA ZODULUA LCSW
302 W 5TH ST UNIT 102
SAN PEDRO, CA 90731-2738
Phone number: 424-570-6955
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Mailing Address
TANYA BATEZA ZODULUA LCSW
711 LIGON CREEK LOOP APT 305
WAKE FOREST, NC 27587-4780
Phone number: 818-224-0656
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