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1881752459
RICKY ROLAND TAIRA
LONG BEACH, CA
NPI
1881752459
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA lcsw20290)
Enumeration Date
2006-12-05
Last Update Date
2020-08-07
Business Address
Mr. RICKY ROLAND TAIRA LCSW
1360 EAST ANAHEIM STREET
LONG BEACH, CA 90813
Phone number: 562-270-0324
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Mailing Address
Mr. RICKY ROLAND TAIRA LCSW
1360 EAST ANAHEIM STREET
LONG BEACH, CA 90813
Phone number: 562-270-0324
Copy
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