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Individual
DENIS CORNELIO VIDAL
Active
Individual
DENIS CORNELIO VIDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ASW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
101938
CA
390200000X
Student in an Organized Health Care Education/Training Program
ASW80336
CA
Other
Enumeration date
11/16/2017
Last updated
06/16/2021
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