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Individual
MR. HERBERT TEZENO JR.
Active
Individual
MR. HERBERT TEZENO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTA, BSW, MSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
ASW113520
CA
224Z00000X
Occupational Therapy Assistant
OTA2005
CA
Other
Enumeration date
12/10/2019
Last updated
10/10/2024
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