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1417507518
MARLYN TAVIRA
COSTA MESA, CA
NPI
1417507518
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: CA 82159)
Enumeration Date
2019-09-19
Last Update Date
2023-04-25
Business Address
MARLYN TAVIRA LCSW
555 ANTON BLVD STE 150
COSTA MESA, CA 92626-7036
Phone number: 714-904-9810
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Mailing Address
MARLYN TAVIRA LCSW
11952 GAIL LN
GARDEN GROVE, CA 92840-2518
Phone number: 714-904-9810
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