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Individual
TAWNY ESTRELLA PORTER COLAGROSS
Active
Individual
TAWNY ESTRELLA PORTER COLAGROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
119961
CA
1041C0700X
Clinical Social Worker
Primary
119961
CA
172V00000X
Community Health Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/02/2013
Last updated
08/29/2024
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