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Individual
PETER THAO THACH
Active
Individual
PETER THAO THACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW70065
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/30/2008
Last updated
03/04/2016
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