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TARA DAWNIEL ANVAR B.A.

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

Registrant NPI Number: 1497088249

Individual Registrant:
 TARA DAWNIEL ANVAR B.A.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
28 ALICANTE  ALISO VIEJO, CA 92656-3807 US
Tel: 949-215-8454  Fax: --

Contact information for business:
28 ALICANTE  ALISO VIEJO, CA 92656-3807 US
Tel: 949-215-8454  Fax: --

Registration Information:
NPI: 1497088249
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y104100000XBehavioral Health & Social Service Providers
Social Worker

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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