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Individual
FREDIE ESCOBAR
Active
Individual
FREDIE ESCOBAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
ASW61712
CA
1041C0700X
Clinical Social Worker
Primary
LCSW93989
CA
Other
Enumeration date
05/19/2015
Last updated
06/02/2021
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