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MR. TUSCAN BUTARDO

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

Registrant NPI Number: 1780023861

Individual Registrant:
MR. TUSCAN  BUTARDO 
Gender: M
Sole Proprietor

Location and contact information for practice:
5607 SAMANTHA AVE  LAKEWOOD, CA 90712-1446 US
Tel: 714-482-1700  Fax: --

Contact information for business:
5607 SAMANTHA AVE  LAKEWOOD, CA 90712-1446 US
Tel: --  Fax: --

Registration Information:
NPI: 1780023861
Entity Type: Individual

Specialty information:

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

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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