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1417532920
ERNESTVID TAMAYO
PASADENA, CA
NPI
1417532920
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 95917)
Enumeration Date
2021-03-16
Last Update Date
2021-12-23
Business Address
ERNESTVID TAMAYO LCSW
1719 N SUMMIT AVE
PASADENA, CA 91103-1844
Phone number: 213-503-0429
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Mailing Address
ERNESTVID TAMAYO LCSW
1719 N SUMMIT AVE
PASADENA, CA 91103-1844
Phone number: 213-503-0429
Copy
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