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1801007497
TALA LUTUF GHANTOUS
OAKLAND, CA
NPI
1801007497
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 25100)
Enumeration Date
2007-05-24
Last Update Date
2019-11-21
Business Address
Ms. TALA LUTUF GHANTOUS LCSW
312 CLAY ST STE 150
OAKLAND, CA 94607-3510
Phone number: 510-428-8413
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Mailing Address
Ms. TALA LUTUF GHANTOUS LCSW
747 52ND ST
OAKLAND, CA 94609-1809
Phone number: 510-428-8413
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