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Individual
ROXANNA THEOFANOUS
Active
Individual
ROXANNA THEOFANOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
96314
CA
Other
Enumeration date
10/23/2020
Last updated
05/10/2023
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