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1790107068
TANYA CARABALLO
SAN DIEGO, CA
NPI
1790107068
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 67621)
Enumeration Date
2014-01-06
Last Update Date
2015-09-25
Business Address
-- TANYA CARABALLO LCSW
1045 9TH AVE
SAN DIEGO, CA 92101-5504
Phone number: 619-235-2600
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Mailing Address
-- TANYA CARABALLO LCSW
1045 9TH AVE
SAN DIEGO, CA 92101-5504
Phone number: 619-235-2600
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