JIMMY DEAN VAN TASSEL

MODESTO, CA
NPI1699831214
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  LCS 17803)
Enumeration Date2006-12-28
Last Update Date2007-07-08
Business Address
-- JIMMY DEAN VAN TASSEL LCSW
1320 STANDIFORD AVE
MODESTO, CA 95350-0726
Phone number: 209-557-5765
Mailing Address
-- JIMMY DEAN VAN TASSEL LCSW
1613 E ORANGEBURG AVE
MODESTO, CA 95355-3236
Phone number: 209-544-6869
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