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Individual
TESSA MATTIE
Active
Individual
TESSA MATTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW 24231
CA
104100000X
Social Worker
Primary
21480187
CA
Other
Enumeration date
01/11/2012
Last updated
10/16/2012
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