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1972000131
TANYA J FONTENOT
REDDING, CA
NPI
1972000131
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 23813)
Enumeration Date
2018-04-12
Last Update Date
2023-06-12
Business Address
Ms. TANYA J FONTENOT LCSW
2580 VICTOR AVE STE C
REDDING, CA 96002-1455
Phone number: 530-722-9092
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Mailing Address
Ms. TANYA J FONTENOT LCSW
8391 AUBURN BLVD
CITRUS HEIGHTS, CA 95610-0364
Phone number: 916-350-1768
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