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Individual
ALFREDO FIMBRES LARIS JR.
Active
Individual
ALFREDO FIMBRES LARIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ASW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
74293
CA
1041C0700X
Clinical Social Worker
ASW74293
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/20/2013
Last updated
01/12/2017
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