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TARA DAWNIEL ANVAR B.A.
>> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1497088249
Individual Registrant: TARA DAWNIEL ANVAR B.A.
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
28 ALICANTE ALISO VIEJO, CA 92656-3807 US
Tel: 949-215-8454 Fax: --
Tel: 949-215-8454 Fax: --
Contact information for business:
28 ALICANTE ALISO VIEJO, CA 92656-3807 US
Tel: 949-215-8454 Fax: --
Tel: 949-215-8454 Fax: --
Registration Information:
NPI: 1497088249
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 104100000X | Behavioral Health & Social Service Providers Social Worker |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
