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DOMINGO T. ACEVEDO LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1225268642

Individual Registrant:
 DOMINGO T. ACEVEDO LCSW
Gender: M
Not Sole Proprietor

Location and contact information for practice:
2325 ENBORG LN STE 270  SAN JOSE, CA 95128-2649 US
Tel: 408-885-2237  Fax: 408-885-6006

Contact information for business:
2325 ENBORG LN STE 270  SAN JOSE, CA 95128-2649 US
Tel: 408-885-2237  Fax: 408-885-6006

Registration Information:
NPI: 1225268642
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
CALCS21723

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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