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Individual
COY REYES
Active
Individual
COY REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW101999
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
99-1566907
IRS
CA
Enumeration date
09/23/2022
Last updated
02/24/2025
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