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1467206789
TANISHA GOLUB
COSTA MESA, CA
NPI
1467206789
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 121949)
Enumeration Date
2024-04-15
Last Update Date
2024-04-15
Business Address
TANISHA GOLUB LCSW
332 VICTORIA ST APT A204
COSTA MESA, CA 92627-1962
Phone number: 714-425-6996
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Mailing Address
TANISHA GOLUB LCSW
2230 FAIRVIEW RD UNIT 12121
COSTA MESA, CA 92627-8899
Phone number: 714-425-6996
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