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Individual
JERROLD WEINER
Active
Individual
JERROLD WEINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW10612
CA
207Q00000X
Family Medicine Physician
20A6235
CA
Other
Enumeration date
05/08/2007
Last updated
04/14/2021
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