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Individual
CESAR MARDONES
Active
Individual
CESAR MARDONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
26735
CA
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
6554
CA
1041C0700X
Clinical Social Worker
Primary
65554
CA
Other
Enumeration date
06/29/2007
Last updated
05/22/2024
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