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1154419505
JACK S. TANENBAUM
LODI, CA
NPI
1154419505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA LCS 1098)
Enumeration Date
2006-10-11
Last Update Date
2010-10-01
Business Address
Mr. JACK S. TANENBAUM lcsw
1920 TIENDA DR STE 101
LODI, CA 95242-3930
Phone number: 916-662-5947
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Mailing Address
Mr. JACK S. TANENBAUM lcsw
2715 W KETTLEMAN LN STE 203-113
LODI, CA 95242-9289
Phone number: 916-662-5947
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