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1124781604
TAIS MILLSAP
SAN DIEGO, CA
NPI
1124781604
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 100178)
Enumeration Date
2021-10-20
Last Update Date
2021-10-20
Business Address
TAIS MILLSAP LCSW
8911 BALBOA AVE
SAN DIEGO, CA 92123-1596
Phone number: 858-650-5715
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Mailing Address
TAIS MILLSAP LCSW
8911 BALBOA AVE
SAN DIEGO, CA 92123-1596
Phone number:
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