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Individual
WANDA PATHOMRIT
Active
Individual
WANDA PATHOMRIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
69847
CA
101YM0800X
Mental Health Counselor
ACSW106131
CA
1041C0700X
Clinical Social Worker
Primary
LCSW113153
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
03/01/2018
Last updated
02/28/2023
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